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Organization
PREHAB LLC
Active
Organization
PREHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX GOMETZ PT (OWNER)
(212) 717-8330
Entity
Organization
Contact information
Practice address
10405 SD MSSN RD STE 103105, SAN DIEGO, CA 92108-2102
(646) 403-6388
Mailing address
10405 SD MSSN RD STE 103105, SAN DIEGO, CA 92108-2102
(619) 369-9442
(213) 336-3026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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