Organization
PAIN AND REHABILITATION TECHNOLOGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE THUDIUM (PRESIDENT)
(619) 794-3145
Entity
Organization
Contact information
Practice address
8400 MIRAMAR RD STE 203A, SAN DIEGO, CA 92126-4387
(619) 704-0550
(619) 695-0272
Mailing address
8400 MIRAMAR RD STE 203A, SAN DIEGO, CA 92126-4387
(619) 794-3145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
11/29/2022
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