Organization
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RICHARD DIPAOLA PT (OWNER / CEO)
(480) 653-8200
Entity
Organization
Contact information
Practice address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
(760) 688-3131
Mailing address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
(760) 688-3131
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
02/26/2025
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