Organization
EXCEL PERFORMANCE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MCCORMICK P.T. (OWNER)
(831) 566-2004
Entity
Organization
Contact information
Practice address
2650 RESEARCH PARK DR, SOQUEL, CA 95073-2087
(831) 566-2004
(831) 325-0307
Mailing address
121 WAUGH AVE, SANTA CRUZ, CA 95065-1133
(831) 566-2004
(831) 325-0307
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
36994
CA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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