Individual
DENNIS JARDIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC
Contact information
Practice address
5810 EL CAMINO REAL, SUITE A, CARLSBAD, CA 92008-8819
(760) 929-8269
Mailing address
5810 EL CAMINO REAL, SUITE A, CARLSBAD, CA 92008-8819
(760) 929-8269
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6630
CA
2255A2300X
Athletic Trainer
119702546
CA
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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