Organization
CHOICE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEBASTIAN CERDA RPT (PRESIDENT)
(951) 587-8105
Entity
Organization
Contact information
Practice address
41278 MARGARITA ROAD, SUITE 102 CHOICE PHYSICAL THERAPY INC, TEMECULA, CA 92591
(951) 587-8105
(951) 587-8405
Mailing address
41278 MARGARITA ROAD, SUITE 102 CHOICE PHYSICAL THERAPY INC, TEMECULA, CA 92591
(951) 587-8105
(951) 587-8405
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ02382Z
BLUE SHIELD OF CA GRP PIN
CA
Enumeration date
04/26/2007
Last updated
08/22/2020
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