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Organization
PHYSIO KAI SPORTS PERFORMANCE & PHYSICAL THERAPY
Active
Organization
PHYSIO KAI SPORTS PERFORMANCE & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA NATALIA VIZCARRA DPT (CEO)
(760) 879-9716
Entity
Organization
Contact information
Practice address
1827 REDFIELD RD, RIVERSIDE, CA 92507-7817
(760) 879-9716
(951) 261-5474
Mailing address
2550 CANYON SPRINGS PKWY STE I, RIVERSIDE, CA 92507-0951
(951) 261-5474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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