Individual
MELINDA A CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5550 TELEGRAPH RD STE A, VENTURA, CA 93003-4256
(805) 850-0525
Mailing address
2564 MARINER CV, PORT HUENEME, CA 93041-1573
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25183
CA
Other
Enumeration date
01/25/2006
Last updated
05/18/2015
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