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Organization
RISE PHYSICAL THERAPY PRIME WELLNESS INC
Active
Organization
RISE PHYSICAL THERAPY PRIME WELLNESS INC
Active
Other names
RISE Prime Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVID HANNANVASH PT, DPT (CEO/OWNER/PRESIDENT)
(503) 453-4841
Entity
Organization
Contact information
Practice address
5550 CARMEL MOUNTAIN RD STE 208, SAN DIEGO, CA 92130-4861
(503) 453-4841
Mailing address
5550 CARMEL MOUNTAIN RD STE 208, SAN DIEGO, CA 92130-4861
(503) 453-4841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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