Most Relevant Information
Provider Data
| NPI Number: | 1003450453 |
| Provider Name: | JON GARRELTS |
| Entity Type: | Individual |
| Taxonomy Code: | 2251S0007X |
| Specialty: | Physical Therapist |
| License Number: | PT23941 |
Most Important Dates
| Enumeration Date: | 10/29/2019 |
| Last Updated: | 12/27/2021 |
Provider Practice Location
15004 INNOVATION DR
SAN DIEGO
CA
921283491
Practice Location Phone/Fax
| Phone: | 8586057189 |
| Fax: |
Provider Mailing Location
10790 RANCHO BERNARDO RD
SAN DIEGO
CA
921275705
Provider Mailing Phone/Fax
| Phone: | 8585543711 |
| Fax: |