| Doctor Name: | DR. MICHELLE ANDAYA OBISPO |
| NPI Number: | 1962769075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 38043 |
| Business Practice Address: | 9350 Campus Point Dr Ll-d La Jolla, CA - 920371300 |
| Business Phone Number: | 8586576879 |
| Business Fax Number: | |
| Mailing Address: | 1307 Antoine Dr, SAN DIEGO |
| State: | CA |
| Postal Code: | 921393945 |
| Phone Number: | 6197085313 |
| Fax Number: | 6194348620 |
| NPI Enumeration Date: | 04/13/2012 |
| NPI Last Update Date: | 04/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 38043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |