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Organization
LIVEWELL PHYSICAL THERAPY
Active
Organization
LIVEWELL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN WAISTELL PT (PHYSCAL THERAPIST, OWNER)
(805) 980-8487
Entity
Organization
Contact information
Practice address
10800 COLORADO RD, ATASCADERO, CA 93422
(805) 980-8487
Mailing address
7343 EL CAMINO REAL #201, ATASCADERO, CA 93422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29176
CA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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