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Organization

TRIPHYSIO LLC

Active
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Organization

TRIPHYSIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL O BAUTISTA PT (CEO)
(858) 997-7638
Entity
Organization

Contact information

Practice address
4340 GENESEE AVE STE 210, SAN DIEGO, CA 92117-4940
(858) 997-7638
Mailing address
8240 STATION VILLAGE LN APT 2105, SAN DIEGO, CA 92108-5588
(858) 997-7638

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
12/08/2020
Last updated
02/10/2024
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