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Organization
FUNCTION FIT REHAB
Active
Organization
FUNCTION FIT REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY SONG PTA, DC (REHAB DIRECTOR)
(858) 202-1546
Entity
Organization
Contact information
Practice address
5348 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92121-1733
(858) 202-1546
(858) 202-1548
Mailing address
5348 CARROLL CANYON RD, SUITE 101, SAN DIEGO, CA 92121-1733
(858) 202-1546
(858) 202-1548
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
AT8848
CA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
05/21/2014
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