Organization
BAYSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA EMERY (VP/ CFO)
(408) 395-7300
Entity
Organization
Contact information
Practice address
12000 CARMEL COUNTRY RD, SAN DIEGO, CA 92130-6101
(858) 509-9600
(858) 509-9611
Mailing address
12000 CARMEL COUNTRY RD, SAN DIEGO, CA 92130-6101
(858) 509-9600
(858) 509-9611
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT27751
CA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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