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Organization
HYLIC PHYSICAL THERAPY APC
Active
Organization
HYLIC PHYSICAL THERAPY APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURAJ KUSHVAH PHYSICAL THERAPIST (PRESIDENT)
(248) 821-1325
Entity
Organization
Contact information
Practice address
9840 MIRA LEE WAY APT 20212, SAN DIEGO, CA 92126-4755
(248) 821-1325
Mailing address
9840 MIRA LEE WAY APT 20212, SAN DIEGO, CA 92126-4755
(248) 821-1325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/25/2023
Last updated
04/25/2024
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