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Organization
MISSION HILLS PHYSICAL THERAPY
Active
Organization
MISSION HILLS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH C HAVENS P.T., O.C.S. (OWNER)
(619) 543-1470
Entity
Organization
Contact information
Practice address
928 FORT STOCKTON DR STE 201, SAN DIEGO, CA 92103-1893
(619) 543-1470
(619) 543-1421
Mailing address
928 FORT STOCKTON DR STE 201, SAN DIEGO, CA 92103-1893
(619) 543-1470
(619) 543-1421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13102
CA
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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