Five Star Rehabilitation And Wellness Services, LLC.
Clinic/Center, Physical Therapy in San Diego, CA. Organization (NPI-2).
NPI number1750842829
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1750842829
- Entity type
- Organization (NPI-2)
- Legal business name
- Five Star Rehabilitation And Wellness Services, LLC.
- Organization subpart
- Yes
- Enumeration date
- Mar 29, 2019
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Ageility Physical Therapy Solutions At The Remington Club (Doing Business As)
Practice location
16925 Hierba DrSan Diego, CA 92128-2688
Phone 858-673-6300
Mailing address
255 Washington St Ste 230Newton, MA 02458-1644
Phone 617-796-8387
Authorized official
Jeffrey C Leer
President & Chief Executive Officer
6177968387
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