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Organization
FUNCTION FOUNDATION, INC.
Active
Organization
FUNCTION FOUNDATION, INC.
Active
Other names
Rehab United Sports Medicine & Physical Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT W BLOOM DPT (CEO)
(619) 229-3909
Entity
Organization
Contact information
Practice address
3323 CARMEL MOUNTAIN RD, SUITE 200, SAN DIEGO, CA 92121-1035
(858) 720-0991
(858) 720-0992
Mailing address
3323 CARMEL MOUNTAIN RD, SUITE 200, SAN DIEGO, CA 92121-1035
(858) 720-0991
(858) 720-0992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 24080
CA
225100000X
Physical Therapist
Primary
PT 26571
CA
225100000X
Physical Therapist
PT 26653
CA
225100000X
Physical Therapist
PT 26678
CA
2251P0200X
Pediatric Physical Therapist
PT 26678
CA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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