Organization
BEWELL HOME PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOKO YAMADA (DIRECTOR)
(650) 452-4110
Entity
Organization
Contact information
Practice address
1582 W SAN MARCOS BLVD STE 105B, SAN MARCOS, CA 92078
(650) 452-4110
Mailing address
3011 44TH ST, SAN DIEGO, CA 92105-4316
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
05/30/2018
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