Organization
INSPIRATION PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DAVIS (PHYSICAL THERAPIST)
(410) 212-2419
Entity
Organization
Contact information
Practice address
1485 NETTLE CREEK WAY, CHULA VISTA, CA 91915-1632
(410) 212-2419
Mailing address
1485 NETTLE CREEK WAY, CHULA VISTA, CA 91915-1632
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
9559
CA
251T00000X
PACE Provider Organization
Primary
9559
CA
310400000X
Assisted Living Facility
9559
CA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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