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Organization
PACIFIC WATER THERAPY
Active
Organization
PACIFIC WATER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JEAN SWISHER PT (OWNER)
(619) 523-6767
Entity
Organization
Contact information
Practice address
3156 SPORTS ARENA BLVD., SUITE 104, SAN DIEGO, CA 92110
(619) 523-6767
(619) 523-6769
Mailing address
3056 MACAULAY STREET, SAN DIEGO, CA 92106
(619) 523-6767
(619) 523-6769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14508
CA
Other
Enumeration date
12/11/2006
Last updated
12/21/2016
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