Organization
COMMUNITY CARE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MCGOVERN TRIVELPIECE MSPT (OWNER/PHYSICAL THERAPIST)
(619) 818-6873
Entity
Organization
Contact information
Practice address
8996 MIRAMAR RD STE 315, SAN DIEGO, CA 92126-4463
(619) 818-6873
Mailing address
8996 MIRAMAR RD STE 315, SAN DIEGO, CA 92126-4463
(619) 818-6873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
02/14/2022
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