Organization
BESPOKE SAN DIEGO PHYSICAL THERAPY PC
Active
Organization
BESPOKE SAN DIEGO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GUSKIN (DIRECTOR OF BILLING/COLLECTIONS)
(646) 596-7427
Entity
Organization
Contact information
Practice address
2748 ARIANE DR, UNIT 141, SAN DIEGO, CA 92117-3407
(509) 294-5289
(646) 358-3443
Mailing address
2748 ARIANE DR, UNIT 141, SAN DIEGO, CA 92117-3407
(509) 294-5289
(646) 358-3443
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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