Michelle Lynn Medicke, DPT Valid NPI
Individual provider · Physical Therapist · La Jolla, CA
- NPI
- 1417529447
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 295856 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
Practice location
7946 Ivanhoe Ave Ste 110
La Jolla, CA 92037-4516
(858) 551-8882