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Individual

MR. MICHAEL EDWARD CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1254 FELSPAR ST, SAN DIEGO, CA 92109-2911
(773) 750-5377
Mailing address
1254 FELSPAR ST, SAN DIEGO, CA 92109-2911
(773) 750-5377

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54392
CA

Other

Enumeration date
11/24/2025
Last updated
11/24/2025
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