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Organization
MAVERICK PHYSICAL THERAPY P.C.
Active
Organization
MAVERICK PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRENS (OWNER)
(616) 889-6894
Entity
Organization
Contact information
Practice address
5915 MIRA MESA BLVD STE D, SAN DIEGO, CA 92121-4303
(858) 899-8299
Mailing address
5915 MIRA MESA BLVD STE D, SAN DIEGO, CA 92121-4303
(858) 899-8299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41485
CA
Other
Enumeration date
05/04/2018
Last updated
08/06/2025
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