Organization
BRIDGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MANULETE FELICIANO III PT (OWNER)
(760) 889-5557
Entity
Organization
Contact information
Practice address
5576 FOXTAIL LOOP, CARLSBAD, CA 92010-7152
(760) 889-5557
Mailing address
5576 FOXTAIL LOOP, CARLSBAD, CA 92010-7152
(760) 889-5557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26095
CA
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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