Individual
PATRICK MIAZGOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1333 CAMINO DEL RIO S STE 103, SAN DIEGO, CA 92108-3520
(619) 501-2195
Mailing address
1612 N LAFAYETTE ST, DEARBORN, MI 48128-1164
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
302915
CA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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