Organization
CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.
Active
Other names
California Sports Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (OWNER)
(213) 804-1712
Entity
Organization
Contact information
Practice address
101 WILSON RD STE C, MONTEREY, CA 93940-7864
(831) 375-1885
(831) 375-7436
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 260-0010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173851
CIGNA
CA
01
—
183888000
DOL
CA
01
—
4435160
AETNA
CA
01
—
C16964
RAILROAD
CA
01
—
ZZZ66185Z
BLUESHIELD
CA
Enumeration date
12/05/2005
Last updated
06/06/2024
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