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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