Organization
ENCORE HOME THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN JAYSON RETUYA OTR/L (PRESIDENT / OWNER)
(858) 414-8174
Entity
Organization
Contact information
Practice address
2969 FLEDGLING DR, ESCONDIDO, CA 92029-4819
(858) 414-8174
Mailing address
4275 EXECUTIVE SQ STE 200, LA JOLLA, CA 92037-1476
(858) 414-8174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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