Individual
MR. JOSE MANULETE FELICIANO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5576 FOXTAIL LOOP, CARLSBAD, CA 92010-7152
(760) 889-5557
Mailing address
5576 FOXTAIL LOOP, CARLSBAD, CA 92010-7152
(760) 889-5557
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT26095
CA
2251X0800X
Orthopedic Physical Therapist
PT26095
CA
Other
Enumeration date
06/10/2006
Last updated
03/01/2011
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