Individual
KRISTINA SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8515 COSTA VERDE BLVD, SAN DIEGO, CA 92122-1130
(888) 674-4036
Mailing address
2603 DOVE ST APT 320, SAN DIEGO, CA 92103-6407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51363
CA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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