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Organization
VISTA PHYSICAL THERAPY AND REHAB PC
Active
Organization
VISTA PHYSICAL THERAPY AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB A BARRACK DPT (PRESIDENT)
(760) 726-9660
Entity
Organization
Contact information
Practice address
115 MAIN ST, VISTA, CA 92084-6007
(760) 726-9660
(760) 726-8865
Mailing address
115 MAIN ST, VISTA, CA 92084-6007
(760) 726-9660
(760) 726-8865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41928
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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