ILSEONG SONG

SAN DIEGO, CA
NPI1871050245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  295985)
Enumeration Date2019-02-21
Last Update Date2023-09-26
Business Address
ILSEONG SONG PT, DPT
7340 MIRAMAR RD STE 210
SAN DIEGO, CA 92126-4224
Phone number: 858-284-1133
Mailing Address
ILSEONG SONG PT, DPT
6306 SEAMAN ST
SAN DIEGO, CA 92120-2626
Phone number: 858-284-1133
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