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Organization
WATER AND SPORTS PHYSICAL THERAPY, INC
Active
Organization
WATER AND SPORTS PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAHL GOLDFARB (CEO)
(858) 726-2624
Entity
Organization
Contact information
Practice address
3639 MIDWAY DR, SUITE B286, SAN DIEGO, CA 92110-5254
(858) 726-2624
Mailing address
3639 MIDWAY DR, SUITE B286, SAN DIEGO, CA 92110-5254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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