Individual
MR. MIRKO VUKSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, CSCS
Contact information
Practice address
32261 CAMINO CAPISTRANO, D101, SAN JUAN CAPISTRANO, CA 92675-3746
(949) 429-2155
(949) 429-2151
Mailing address
32261 CAMINO CAPISTRANO, D101, SAN JUAN CAPISTRANO, CA 92675-3746
(949) 429-2155
(949) 429-2151
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 27241
CA
Other
Enumeration date
09/21/2006
Last updated
10/04/2013
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