Organization
JG PERFORMANCE FITNESS, INC.
Active
Other names
Healthwest Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN R ALDEN PT (OWNER/CEO)
(619) 373-6100
Entity
Organization
Contact information
Practice address
1482 LA MIRADA DR, SAN MARCOS, CA 92078-2414
(619) 373-6100
(559) 639-5250
Mailing address
390 AVENIDA LA CUESTA, SAN MARCOS, CA 92078-4207
(619) 373-6100
(559) 639-5250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
35685
CA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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