Jake Bartholomew Walsh DPT

NPI 1619166964 - Physical Therapist - 225100000X

NPI Details
NPI 1619166964
Gender Male
Enumeration Date 10/22/2007
Last Updated 07/13/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
6195 CORNERSTONE CT E
STE 101
SAN DIEGO CA, 92121-4728, US
Phone (858) 452-4324
Fax (858) 452-3102
Business Location
540 S ANDREASEN DR
STE C
ESCONDIDO CA, 92029-1916, US
Phone (760) 591-7750
Fax (760) 294-9813
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 36651
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According to our database, Dr. Jake Bartholomew Walsh DPT NPI is 1619166964, taxonomy code is 225100000X and license number is 36651, license state is located at California. Jake Bartholomew Walsh DPT physically located at 6195 Cornerstone Ct E, San Diego CA, 92121-4728. NPI Number Jake Bartholomew Walsh DPT has the Individual type.

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1619166964 NPI number is provided on an as is basis without warranty of any kind. 1619166964 is maintained by the National Plan & Provider Enumeration System. The contents of Jake Bartholomew Walsh DPT are for informational purposes only.