Individual
JAMES ELLIS FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
251 LANDIS AVE,, SUITE 201, CHULA VISTA, CA 91910
(619) 498-8450
(619) 498-8453
Mailing address
771 LAVENDER CT., SAN MARCOS, CA 92069-1958
(760) 798-9602
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
22069
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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