Organization
DIGITAL PHYSICAL THERAPY NETWORK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC MIRISCH PT, DPT, MBA (PRESIDENT/CEO)
(858) 215-2063
Entity
Organization
Contact information
Practice address
7469 LAS LUNAS, SAN DIEGO, CA 92127-3851
(858) 215-2063
Mailing address
16091 SAN DIEGUITO RD UNIT 8412, RANCHO SANTA FE, CA 92067-6773
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
07/24/2020
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