# KAUFMAN PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neurotrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619968005
- **Authorized official:** MR. GERALD KAUFMAN MA PT (CEO)
- **Authorized official phone:** (760) 738-8811

## Contact information

- **Practice address:** 1318 MOUNTAIN PARK PLACE, ESCONDIDO, CA 92027
- **Practice address phone:** (760) 738-8811
- **Practice address fax:** (760) 738-8886
- **Mailing address:** PO BOX 268, ESCONDIDO, CA 92033-0268
- **Mailing address phone:** (760) 738-8811
- **Mailing address fax:** (760) 738-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | EN8 | CA | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 10/16/2008