Organization
SOMA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM ROBERT PAVLOVICH DPT (OWNER/ PHYSICAL THERAPIST)
(607) 341-2479
Entity
Organization
Contact information
Practice address
1740 LA COSTA MEADOWS DR STE 250, SAN MARCOS, CA 92078-2122
(760) 516-8900
(760) 410-6175
Mailing address
1245 SAN PABLO DR, SAN MARCOS, CA 92078-4816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
03/21/2023
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