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Organization

PURA VIDA FIT PHYSICAL THERAPY INCORPORATED

Active
Other names
Pura Vida Fit
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY L. MAINE DPT (DOCTOR OF PHYSICAL THERAPY)
(619) 518-6301
Entity
Organization

Contact information

Practice address
2251 WORDEN ST, UNIT 9, SAN DIEGO, CA 92107-1626
(619) 518-6301
(866) 860-3154
Mailing address
2251 WORDEN ST, UNIT 9, SAN DIEGO, CA 92107-1626
(619) 518-6301
(866) 860-3154

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
21676
CA

Other

Enumeration date
01/08/2009
Last updated
01/13/2009
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