Organization
IN-HOME PHYSICAL THERAPY PC
Active
Organization
IN-HOME PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A PRUSSACK JR. PT (PRESIDENT, OWNER)
(760) 271-3850
Entity
Organization
Contact information
Practice address
533 2ND ST # 341, ENCINITAS, CA 92024-3558
(760) 271-3850
(888) 773-3272
Mailing address
533 2ND ST # 341, ENCINITAS, CA 92024-3558
(760) 271-3850
(888) 773-3272
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/17/2008
Last updated
07/15/2020
Update your record
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