Organization
PARK MEDICAL PHYSICAL THERAPY, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JOYCE CHRISTENSEN PT (PRESIDENT/OWNER)
(619) 297-2544
Entity
Organization
Contact information
Practice address
4120 W POINT LOMA BLVD, SAN DIEGO, CA 92110-5605
(619) 297-2544
(619) 297-2752
Mailing address
4136 BACHMAN PL, SAN DIEGO, CA 92103-2028
(619) 297-2544
(619) 297-2752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PT7388
CA
332BC3200X
Customized Equipment (DME)
PT7388
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
PT7388
CA
Other
Enumeration date
02/22/2008
Last updated
02/27/2008
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