Organization
INTEGRATED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT KUENNING M.P. T (MAGING DIRECTOR)
(619) 542-1594
Entity
Organization
Contact information
Practice address
1775 HANCOCK ST, 130, SAN DIEGO, CA 92110-2034
(619) 542-1594
(619) 542-1595
Mailing address
1775 HANCOCK ST, 130, SAN DIEGO, CA 92110-2034
(619) 542-1594
(619) 542-1595
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21309
CA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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