Organization
BRIAN WILSON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN W WILSON MSPT (OWNER CEO)
(805) 448-6691
Entity
Organization
Contact information
Practice address
226 SAN CLEMENTE ST, SANTA BARBARA, CA 93109-2132
(805) 448-6691
Mailing address
226 SAN CLEMENTE, SANTA BARBARA, CA 93109
(805) 448-6691
(805) 758-6878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
975454
CA
332BC3200X
Customized Equipment (DME)
975454
CA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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