Organization
INTEGRATIVE MYOFUNCTIONAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L WRIGHT (CEO)
(760) 689-4008
Entity
Organization
Contact information
Practice address
210 E FIG ST STE 201, FALLBROOK, CA 92028-2889
(760) 689-4008
Mailing address
PO BOX 100, FALLBROOK, CA 92088-0100
(760) 689-4008
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
02/21/2017
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