Individual
ANDREW JIRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1542 LINDA SUE LN, ENCINITAS, CA 92024-2425
(617) 999-7057
Mailing address
1542 LINDA SUE LN, ENCINITAS, CA 92024-2425
(617) 999-7057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37398
CA
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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