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Organization
PHYSICAL REHABILITATION & HAND CENTERS INC
Active
Organization
PHYSICAL REHABILITATION & HAND CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C. BOUTELLE M.P.T. (PRESIDENT OWNER)
(760) 591-7750
Entity
Organization
Contact information
Practice address
600 S ANDREASEN DR, STE C/D, ESCONDIDO, CA 92029-1917
(760) 591-7750
(760) 294-9813
Mailing address
600 S ANDREASEN DR, STE C/D, ESCONDIDO, CA 92029-1917
(760) 591-7750
(760) 294-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70926
MEDICARE
AZ
Enumeration date
05/21/2007
Last updated
03/05/2010
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