Organization
INNISS PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BOSWELL INNISS RPT, OCS (OWNER, PHYSICAL THERAPIST)
(619) 287-4678
Entity
Organization
Contact information
Practice address
6475 ALVARADO RD, #118, SAN DIEGO, CA 92120-5003
(619) 287-4678
(619) 287-0350
Mailing address
6475 ALVARADO RD, #118, SAN DIEGO, CA 92120-5003
(619) 287-4678
(619) 287-0350
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
01/05/2007
Last updated
08/14/2014
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