Organization
COMBAT PHYSICAL AND OCCUPATIONAL THERAPY , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CORNACCHIONE OTR/L, DPT (PHYSICAL AND OCCUPATIONAL THERAPIST)
(412) 952-9726
Entity
Organization
Contact information
Practice address
3919 NORMAL ST APT 206, SAN DIEGO, CA 92103-3463
(412) 952-9726
Mailing address
1041 MARKET ST # 190, SAN DIEGO, CA 92101-7233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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