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Organization
FUNCTION FOR LIFE PT
Active
Organization
FUNCTION FOR LIFE PT
Active
Other names
Longevity PT
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA NUNEZ (OFFICE MANAGER)
(619) 251-0520
Entity
Organization
Contact information
Practice address
227 N EL CAMINO REAL STE 105, ENCINITAS, CA 92024-5821
(760) 230-2317
Mailing address
227 N EL CAMINO REAL STE 105, ENCINITAS, CA 92024-5821
(760) 230-2317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41136
CA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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