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Organization
NEW HORIZONS PHYSICAL THERAPY, PC
Active
Organization
NEW HORIZONS PHYSICAL THERAPY, PC
Active
Other names
New Horizons Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY ELIZABETH MONDRY DPT, MSRS, CLT-LANA (DOCTOR OF PHYSICAL THERAPY,CO-OWNER)
(858) 764-2409
Entity
Organization
Contact information
Practice address
169 SAXONY RD, SUITE 208, ENCINITAS, CA 92024-6778
(760) 230-6472
(760) 230-6473
Mailing address
169 SAXONY RD, SUITE 208, ENCINITAS, CA 92024-6778
(760) 230-6472
(760) 230-6473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT200260
BLUE SHIELD OF CA
CA
01
—
5306540001
MEDICARE DME SOUTHERN CA
CA
Enumeration date
02/13/2007
Last updated
01/09/2013
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