Organization
MANUAL ORTHOPEDIC PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE CLARK (CONTRACTS MANAGER)
(619) 349-0797
Entity
Organization
Contact information
Practice address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 349-0797
(619) 656-5143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9170
RAILROAD MEDICARE
CA
Enumeration date
05/28/2006
Last updated
04/30/2026
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