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Organization
WATER AND SPORTS PHYSICAL THERAPY, INC
Active
Organization
WATER AND SPORTS PHYSICAL THERAPY, INC
Active
Parent organization
WATER AND SPORTS PHYSICAL THERAPY, INC
Other names
Mission Beach Water and Sports Physical Therapy, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATER AND SPORTS PHYSICAL THERAPY, INC
Authorized official
SOPHIA HAMILTON (OPERATIONS MANAGER)
(858) 288-3597
Entity
Organization
Contact information
Practice address
2999 MISSION BLVD, SUITE 101, SAN DIEGO, CA 92109-8028
(858) 488-3597
(858) 488-3178
Mailing address
3639 MIDWAY DR STE B286, SAN DIEGO, CA 92110-5254
(858) 488-3597
(858) 488-3178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT20904
CA
225100000X
Physical Therapist
Primary
PT23900
CA
225100000X
Physical Therapist
PT27239
CA
225700000X
Massage Therapist
—
CA
Other
Enumeration date
11/21/2006
Last updated
08/14/2014
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