Organization
VITAL FORTITUDE REHAB AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER EVAN JOHNSON PT, DPT (PHYSICAL THERAPIST, OWNER, FOUNDER)
(909) 503-5438
Entity
Organization
Contact information
Practice address
5030 CAMINO DE LA SIESTA, SAN DIEGO, CA 92108-3116
(619) 365-5463
(877) 503-7863
Mailing address
2108 N ST # N, SACRAMENTO, CA 95816-5712
(909) 503-5438
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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