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Gateway Physical Therapy LLC

Physical Therapist in Poway, CA. Organization (NPI-2).

NPI number1235282948
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1235282948
Entity type
Organization (NPI-2)
Legal business name
Gateway Physical Therapy LLC
Organization subpart
No
Enumeration date
Jan 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist29748CAYes

Practice location

15725 Pomerado Rd
Suite 115
Poway, CA 92064-2068

Phone 858-675-7766 · Fax 858-675-0043

Mailing address

15725 Pomerado Rd
Suite 115
Poway, CA 92064-2068

Phone 858-675-7766 · Fax 858-675-0043

Authorized official

Robert Berry
Vice President
8586757766

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