Organization
SIMMONS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C SIMMONS P.T. (CEO/PRESIDENT)
(760) 633-1345
Entity
Organization
Contact information
Practice address
285 N EL CAMINO REAL, SUITE 202, ENCINITAS, CA 92024-5383
(760) 633-1345
(760) 633-1419
Mailing address
285 N EL CAMINO REAL, SUITE 202, ENCINITAS, CA 92024-5383
(760) 633-1345
(760) 633-1419
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT11587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT11587
P.T. STATE LICENSE NUMBER
CA
Enumeration date
12/05/2005
Last updated
10/29/2018
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