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Organization
WISDOM PHYSICAL THERAPY, INC.
Active
Organization
WISDOM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WISDOM (OWNER)
(760) 592-8148
Entity
Organization
Contact information
Practice address
426 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 592-8148
(760) 841-5556
Mailing address
3760 CONVOY ST STE 101, SAN DIEGO, CA 92111-3743
(760) 592-8148
(858) 751-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
09/30/2019
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