Water And Sports Physical Therapy

NPI 1588085625 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1588085625
Enumeration Date 12/16/2013
Last Updated 12/16/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SOPHIA SOPHIA
Position OFFICE MANAGER
Phone (858) 488-3597
Fax (858) 724-1747
Practice Location
3639 MIDWAY DR
B286
SAN DIEGO CA, 92110-5254, US
Phone (858) 488-3597
Fax (858) 724-1747
Business Location
3639 MIDWAY DR
B286
SAN DIEGO CA, 92110-5254, US
Phone (858) 488-3597
Fax (858) 724-1747
Toxanomy
Taxonomy Code 208100000X
License State California
License Number PT40754
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According to our database, Water And Sports Physical Therapy NPI is 1588085625, taxonomy code is 208100000X and license number is PT40754, license state is located at California. Water And Sports Physical Therapy physically located at 3639 Midway Dr, San Diego CA, 92110-5254. NPI Number 1033115704 has the healthcare provider type.

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1588085625 NPI number is provided on an as is basis without warranty of any kind. 1588085625 is maintained by the National Plan & Provider Enumeration System. The contents of Water And Sports Physical Therapy are for informational purposes only.