Organization
PHYSIOTHERAPY INNOVATIONS
Active
Organization
PHYSIOTHERAPY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI ANN MCMAINS PT, DPT (OWNER)
(760) 554-1244
Entity
Organization
Contact information
Practice address
1420 OCOTILLO DR, SUITE D, EL CENTRO, CA 92243-4254
(760) 554-1244
(760) 482-0449
Mailing address
1420 OCOTILLO DR, SUITE D, EL CENTRO, CA 92243-4254
(760) 554-1244
(760) 482-0449
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8047
CA
261QP2000X
Physical Therapy Clinic/Center
PT 8074
CA
Other
Enumeration date
09/26/2009
Last updated
01/28/2010
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