Organization
SD ELITE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAWSON (OWNER)
(760) 542-8419
Entity
Organization
Contact information
Practice address
510 HACIENDA DR STE 107, VISTA, CA 92081-6639
(760) 630-8060
Mailing address
510 HACIENDA DR STE 107, VISTA, CA 92081-6639
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
294612
CA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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