Organization
FINISHLINE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY RAYMOND P.T (PHYSICIAN)
(323) 465-9180
Entity
Organization
Contact information
Practice address
969 S SANTA FE AVE STE E2, VISTA, CA 92083-6910
(760) 330-9995
Mailing address
969 S SANTA FE AVE STE E2, VISTA, CA 92083-6910
(760) 330-9995
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT22017
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104816057
AWAITING PROCESSING
CA
Enumeration date
10/24/2005
Last updated
03/07/2019
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