Organization
PHYSICAL THERAPY AND SPORTS MEDICINE CENTER
Active
Organization
PHYSICAL THERAPY AND SPORTS MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH JACOBSON (OWNER)
(619) 589-0850
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG. 3, SUITE 461, LA MESA, CA 91942-3020
(619) 589-0850
(619) 589-0878
Mailing address
5565 GROSSMONT CENTER DRIVE, BLDG. 3 SUITE 461, LA MESA, CALIFORNIA 91942
(619) 589-0850
(619) 589-0878
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT8986
CA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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