Individual
JEREMIAH SICAT SOTERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10225 AUSTIN DR STE 204, SPRING VALLEY, CA 91978-1522
(619) 670-4567
Mailing address
11180 BROOKE DR APT 41507, SAN DIEGO, CA 92126-6723
(951) 234-6546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52280
CA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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