Organization
CORE INTEGRATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEIGH LOTT (OFFICE MANAGER/BILLER)
(805) 658-8300
Entity
Organization
Contact information
Practice address
2112 EASTMAN AVE, SUITE 101, VENTURA, CA 93003-5773
(805) 658-8300
(805) 658-8318
Mailing address
2112 EASTMAN AVE, SUITE 101, VENTURA, CA 93003-5773
(805) 658-8300
(805) 658-8318
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT28451
CA
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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