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Individual

MARK WELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
944 REGAL RD, ENCINITAS, CA 92024-4634
(760) 944-0331
Mailing address
2316 PASEO DE LAURA APT 217, OCEANSIDE, CA 92056-3748
(442) 404-7819

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
299530
CA

Other

Enumeration date
01/31/2026
Last updated
01/31/2026
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