# OSIDE PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912732397
- **Authorized official:** SEAN MANDELL DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (760) 585-4885

## Contact information

- **Practice address:** 3320 MISSION AVE STE H, OCEANSIDE, CA 92058-1332
- **Practice address phone:** (760) 585-4885
- **Practice address fax:** (760) 585-1194
- **Mailing address:** 3320 MISSION AVE STE H, OCEANSIDE, CA 92058-1332
- **Mailing address phone:** (760) 585-4885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024