# FIT ATHLETIC PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1982382172
- **Authorized official:** MR. KEVIN YANUSKAVICH (VICE PRESIDENT)
- **Authorized official phone:** (619) 415-8388

## Contact information

- **Practice address:** 405 W. ASH STREET, SAN DIEGO, CA 92101
- **Practice address phone:** (619) 415-8388
- **Mailing address:** 405 W ASH ST, SAN SIEGO, CA 92101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023