Organization
FISIOPRO1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CARMOSINO DPT (PHYSICAL THERAPIST)
(518) 859-2980
Entity
Organization
Contact information
Practice address
3780 HANCOCK ST, SUITE D, SAN DIEGO, CA 92110-4340
(858) 231-7805
Mailing address
3803 MARQUETTE PL, APT 2B, SAN DIEGO, CA 92106-1056
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
39315
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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