Abilities Pediatric Physical Therapy
Early Intervention Provider Agency in San Diego, CA. Organization (NPI-2).
NPI number1922725662
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1922725662
- Entity type
- Organization (NPI-2)
- Legal business name
- Abilities Pediatric Physical Therapy
- Organization subpart
- No
- Enumeration date
- Oct 24, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
9409 Lake Murray Blvd Unit ASan Diego, CA 92119-1467
Phone 619-962-0316
Mailing address
9409 Lake Murray Blvd Unit ESan Diego, CA 92119-1467
Phone 619-962-0316
Authorized official
Alicia Coffroth
Owner
6199620316
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