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Organization
DEL MAR VILLAGE PHYSICAL THERAPY INC.
Active
Organization
DEL MAR VILLAGE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MAUCK PT (PHYSICAL THERAPIST)
(619) 933-2610
Entity
Organization
Contact information
Practice address
910 CAMINO DEL MAR STE G, DEL MAR, CA 92014-2800
(619) 933-2610
Mailing address
13562 DOGWOOD WAY, SAN DIEGO, CA 92130-5644
(619) 933-0044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
03/10/2023
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