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Organization
FUNCTIONSMART
Active
Organization
FUNCTIONSMART
Active
Other names
FunctionSmart
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE CINCO PT (PRACTICE OWNER)
(858) 452-0282
Entity
Organization
Contact information
Practice address
5190 GOVERNOR DR STE 107, SAN DIEGO, CA 92122-2848
(858) 452-0282
(858) 452-6837
Mailing address
5190 GOVERNOR DR STE 107, SAN DIEGO, CA 92122-2848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19520
CA
Other
Enumeration date
04/25/2008
Last updated
09/04/2024
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