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Organization
OCEANSIDE PHYSICAL THERAPY P C
Active
Organization
OCEANSIDE PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB A BARRACK DPT (OWNER/PHYSICAL THERAPIST)
(760) 726-9660
Entity
Organization
Contact information
Practice address
3861 MISSION AVE STE B25, OCEANSIDE, CA 92058-1817
(760) 726-9660
(760) 726-8865
Mailing address
115 MAIN ST, VISTA, CA 92084-6007
(760) 726-9660
(760) 726-8865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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