Organization
FUNCTIONAL EMBODIMENT PHYSICAL THERAPY, P.C.
Active
Organization
FUNCTIONAL EMBODIMENT PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA C KUMAGAI PT, ATC (PHYSICAL THERAPIST)
(763) 245-0233
Entity
Organization
Contact information
Practice address
12887 CAMINITO DEL CANTO, DEL MAR, CA 92014-3758
(763) 245-0233
Mailing address
12887 CAMINITO DEL CANTO, DEL MAR, CA 92014-3758
(763) 245-0233
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/28/2020
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