Individual
MICHAEL PODLENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC
Contact information
Practice address
8881 FLETCHER PKWY, SUITE #280, LA MESA, CA 91942-3134
(619) 464-0105
Mailing address
1891 FUERTE VALLEY DR, EL CAJON, CA 92019-3739
(619) 441-0192
(619) 441-0193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2570
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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