Organization
NEUROLAB 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA AGRIMIS PT, DPT, NCS, ATP (PRESIDENT, PHYSICAL THERAPIST)
(760) 704-8237
Entity
Organization
Contact information
Practice address
2146 ENCINITAS BLVD STE 110, ENCINITAS, CA 92024-4371
(760) 704-8237
Mailing address
2146 ENCINITAS BLVD STE 110, ENCINITAS, CA 92024-4371
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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