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Organization
FUNCTION IN MOVEMENT PHYSICAL THERAPY
Active
Organization
FUNCTION IN MOVEMENT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY TULLY PT, DPT (CEO)
(609) 668-8483
Entity
Organization
Contact information
Practice address
1351 REED AVE APT 1, SAN DIEGO, CA 92109-5133
(609) 668-8483
Mailing address
1351 REED AVE APT 1, SAN DIEGO, CA 92109-5133
(609) 668-8483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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