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Organization
EMBODY YOGA & PHYSICAL THERAPY CENTERS INC
Active
Organization
EMBODY YOGA & PHYSICAL THERAPY CENTERS INC
Active
Parent organization
EMBODY YOGA & PHYSICAL THERAPY CENTERS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMBODY YOGA & PHYSICAL THERAPY CENTERS INC
Authorized official
MS. DIANA JEAN SMITH MS PT (OWNER SECRETARY)
(858) 454-9355
Entity
Organization
Contact information
Practice address
5632 LA JOLLA BLVD, LA JOLLA, CA 92037
(858) 454-9355
(858) 454-9305
Mailing address
5632 LA JOLLA BLVD, LA JOLLA, CA 92037
(858) 454-9355
(858) 454-9305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13530
CA
225100000X
Physical Therapist
PT23105
CA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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