JONATHAN BLUE

SAN DIEGO, CA
NPI1548511934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  38394)
Enumeration Date2012-09-25
Last Update Date2012-09-25
Business Address
-- JONATHAN BLUE DPT
404 CAMINO DEL RIO S # 508
SAN DIEGO, CA 92108-3503
Phone number: 760-668-4164
Mailing Address
-- JONATHAN BLUE DPT
5085 BRIGHTON AVE
SAN DIEGO, CA 92107-2507
Phone number:
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