Organization
ONE LIFE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN RUSSELL DPT (OWNER)
(281) 851-1613
Entity
Organization
Contact information
Practice address
160 C AVE, CORONADO, CA 92118-1420
(281) 851-1613
Mailing address
6621 ARCHWOOD AVE, SAN DIEGO, CA 92120-2401
(281) 851-1613
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/08/2025
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