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Organization
LIFESPAN PHYSIOTHERAPY STAFFING, INC
Active
Organization
LIFESPAN PHYSIOTHERAPY STAFFING, INC
Active
Other names
Lifespan Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMIN SHAVERDIAN (PRESIDENT)
(858) 412-9349
Entity
Organization
Contact information
Practice address
2941 4TH AVE, SAN DIEGO, CA 92103
(619) 888-5838
(619) 568-3313
Mailing address
2941 4TH AVE, SAN DIEGO, CA 92103-5901
(619) 888-5838
(619) 568-3313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT34535
CA
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
PT34535
CA
Other
Enumeration date
08/24/2009
Last updated
04/11/2023
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