Organization
FUNCTIONAL CAPACITY INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SCOTT IANNAZZO PT (PRINCIPAL MEMBER)
(619) 363-2324
Entity
Organization
Contact information
Practice address
198 W MAIN ST, EL CAJON, CA 92020-3399
(619) 444-6113
(619) 719-5525
Mailing address
1201 AVOCADO AVE PMB 189, EL CAJON, CA 92020-7704
(619) 444-6113
(619) 719-5525
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
28858
CA
Other
Enumeration date
10/27/2014
Last updated
02/27/2025
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