Organization
OUTCOMES PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER BASA P.T. (CEO)
(760) 687-3541
Entity
Organization
Contact information
Practice address
760 WASHBURN AVE, STE 2, CORONA, CA 92882-3303
(951) 371-1233
(951) 371-1273
Mailing address
5255 WILLOW WALK RD, OCEANSIDE, CA 92057-1925
(760) 687-3541
(760) 529-9292
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT28665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972671360
NPI PERSONAL
CA
Enumeration date
12/23/2008
Last updated
05/17/2009
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