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Organization
CRS PHYSICAL THERAPY INC.
Active
Organization
CRS PHYSICAL THERAPY INC.
Active
Other names
Prava California, Ocean Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EBY (CORPORATE OFFICER)
(877) 472-2261
Entity
Organization
Contact information
Practice address
4501 MISSION BAY DR, SUITE 3K, SAN DIEGO, CA 92109-4923
(858) 866-0340
(858) 866-0342
Mailing address
4501 MISSION BAY DR STE 3K, SAN DIEGO, CA 92109-4926
(858) 866-0340
(858) 866-0342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361238600
AFFILIATED COMP SERVICES
CA
01
—
810098482
PRIVATE HEALTHCARE SYSTEM
CA
01
—
CA25980605
PREFERRED THERAPY PROVDRS
CA
01
—
ZZZ61556Z
BLUE SHIELD OF CA
CA
Enumeration date
06/20/2006
Last updated
05/11/2026
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