Organization
ABILITIES PEDIATRIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA COFFROTH PT, DPT (OWNER)
(619) 962-0316
Entity
Organization
Contact information
Practice address
9409 LAKE MURRAY BLVD UNIT A, SAN DIEGO, CA 92119-1467
(619) 962-0316
Mailing address
9409 LAKE MURRAY BLVD UNIT E, SAN DIEGO, CA 92119-1467
(619) 962-0316
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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