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Individual

MEREDITH VICTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
737 PEARL ST STE 108, LA JOLLA, CA 92037-5063
(858) 456-2114
Mailing address
737 PEARL ST STE 108, LA JOLLA, CA 92037-5063
(858) 456-2114

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
36905
CA
2251S0007X
Sports Physical Therapist
36905
CA
2251X0800X
Orthopedic Physical Therapist
Primary
36905
CA

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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