# INTEGRATIVE MYOFUNCTIONAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538534110
- **Authorized official:** VICTORIA L WRIGHT (CEO)
- **Authorized official phone:** (760) 689-4008

## Contact information

- **Practice address:** 210 E FIG ST STE 201, FALLBROOK, CA 92028-2889
- **Practice address phone:** (760) 689-4008
- **Mailing address:** PO BOX 100, FALLBROOK, CA 92088-0100
- **Mailing address phone:** (760) 689-4008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 02/21/2017