Organization
PERFORM PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH CLAIRE HAEUPTLE DPT (OWNER, CEO)
(609) 851-7719
Entity
Organization
Contact information
Practice address
6663 EL CAJON BLVD STE E, SAN DIEGO, CA 92115-2850
(858) 208-0465
Mailing address
353 ORANGE AVE, CORONADO, CA 92118-1432
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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