Provider Demographics
NPI:1447535893
Name:SESE, RECHY (PT)
Entity type:Individual
Prefix:
First Name:RECHY
Middle Name:
Last Name:SESE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10595 MATSON WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3059
Mailing Address - Country:US
Mailing Address - Phone:858-382-8708
Mailing Address - Fax:
Practice Address - Street 1:10595 MATSON WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-3059
Practice Address - Country:US
Practice Address - Phone:858-382-8708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2023-07-13
Deactivation Date:2018-05-08
Deactivation Code:
Reactivation Date:2023-07-13
Provider Licenses
StateLicense IDTaxonomies
CA29706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist