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Organization
SPINEZONE MEDICAL FITNESS, INC.
Active
Organization
SPINEZONE MEDICAL FITNESS, INC.
Active
Parent organization
SPINEZONE MEDICAL FITNESS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINEZONE MEDICAL FITNESS, INC.
Authorized official
IVANIA CASTLE (BILLING MANAGER/ CREDENTIALING)
(619) 432-4634
Entity
Organization
Contact information
Practice address
11838 BERNARDO PLAZA CT STE 101, SAN DIEGO, CA 92128-2414
(844) 316-7979
(866) 813-1235
Mailing address
7525 METROPOLITAN DR STE 306, SAN DIEGO, CA 92108-4404
(844) 316-7979
(866) 813-1235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/19/2022
Last updated
09/15/2022
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