Organization
EZIA PHYSICAL THERAPY LLC
Active
Other names
NAKOA Fitness and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AVE HILDEBRAND (BILLING MANAGER)
(760) 804-1700
Entity
Organization
Contact information
Practice address
6068 CORTE DEL CEDRO STE 100, CARLSBAD, CA 92011-1514
(760) 804-1700
(760) 804-1780
Mailing address
6068 CORTE DEL CEDRO STE 100, CARLSBAD, CA 92011-1514
(760) 804-1700
(760) 804-1780
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
38762
CA
Other
Enumeration date
06/15/2016
Last updated
05/06/2021
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