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Individual

KIRSTEN MEDEIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12000 CARMEL COUNTRY RD, SAN DIEGO, CA 92130-6101
(858) 509-9600
Mailing address
12000 CARMEL COUNTRY RD, SAN DIEGO, CA 92130-6101

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
26599
CA
2251X0800X
Orthopedic Physical Therapist
Primary
26599
CA

Other

Enumeration date
09/08/2005
Last updated
09/11/2025
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