Organization
BETH SCALONE PT, INC
Active
Other names
North County Water and Sports Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN SCALONE DPT, OCS (OWNER/ CEO)
(858) 675-1133
Entity
Organization
Contact information
Practice address
15373 INNOVATION DR, SUITE 175, SAN DIEGO, CA 92128-3427
(858) 675-1133
(858) 675-1151
Mailing address
15373 INNOVATION DR, SUITE 175, SAN DIEGO, CA 92128-3427
(858) 675-1133
(858) 675-1151
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ04660Z
BLUE CROSS OF CA PROVIDER
CA
Enumeration date
07/05/2006
Last updated
06/02/2014
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