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Organization
MESA PHYSICAL THERAPY
Active
Organization
MESA PHYSICAL THERAPY
Active
Other names
Mesa Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
7510 CLAIREMONT MESA BLVD, #103, SAN DIEGO, CA 92111-1539
(858) 277-2277
(858) 277-7358
Mailing address
5962 LA PLACE CT, CARLSBAD, CA 92008-8807
(800) 929-4776
(760) 931-8370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513299
FIRST HEALTH
CA
Enumeration date
05/03/2006
Last updated
09/27/2007
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