Organization
MYKL CONCEPTS & PHYSIOTHERAPY ,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANNON PT (PRESIDENT)
(858) 229-8178
Entity
Organization
Contact information
Practice address
410 S MELROSE DR STE 200, VISTA, CA 92081-6623
(858) 229-8178
(877) 575-2650
Mailing address
410 S MELROSE DR STE 200, VISTA, CA 92081-6623
(858) 229-8178
(877) 575-2650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
07/17/2020
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