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Organization
PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP
Active
Organization
PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP
Active
Other names
Pacific Coast Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL DAVIS D.C. (PRESIDENT)
(805) 489-1477
Entity
Organization
Contact information
Practice address
880 OAK PARK BLVD, SUITE 201, ARROYO GRANDE, CA 93420-1821
(805) 489-1477
(805) 489-2356
Mailing address
880 OAK PARK BLVD, SUITE 201, ARROYO GRANDE, CA 93420-1821
(805) 489-1477
(805) 489-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
C3123027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55851
CITY BUSINESS LICENSE-ARROYO GRANDE, CA 93420
CA
01
—
C3123027
CORPORATION NUMBER
CA
Enumeration date
06/26/2008
Last updated
12/31/2008
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