Roeshan Shadravan, PHDDOMPMSCCST
Roeshan Shadravan, PHDDOMPMSCCST is a Mechanotherapist in Solana Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1505 Lomas Santa Fe DrSolana Beach, CA 92075-2103
Phone: (760) 212-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 30079 (CA) |
|---|---|
| Mechanotherapist | Taxonomy 172M00000X |
Record details
| NPI number | 1144860743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHDDOMPMSCCST |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2020 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | February 2, 2022 |
| Mailing address | 1160 N Coast Highway 101 #232126, Encinitas, CA 92023 |