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Organization
DOWNTOWN WATER AND SPORTS
Active
Organization
DOWNTOWN WATER AND SPORTS
Active
Other names
Water & Sports Physical Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KAHL GOLDFARB PT (OWNER)
(858) 488-3597
Entity
Organization
Contact information
Practice address
120 C AVE, CORONADO, CA 92118-1979
(858) 488-3597
(858) 488-3178
Mailing address
3639 MIDWAY DR STE B286, SAN DIEGO, CA 92110-5254
(858) 488-3597
(858) 488-3178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT20904
CA
225100000X
Physical Therapist
PT23900
CA
225100000X
Physical Therapist
PT27239
CA
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
CA
Other
Enumeration date
11/24/2006
Last updated
10/31/2023
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