| Longevity Pt | |
|
227 N El Camino Real Ste 105, Encinitas, CA 92024-5821 | |
| (760) 230-2317 | |
| Not Available |
| Full Name | Longevity Pt |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 227 N El Camino Real Ste 105, Encinitas, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194142299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 41136 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Pt 227 N El Camino Real Ste 105, Encinitas, CA 92024-5821 Ph: (760) 230-2317 | Longevity Pt 227 N El Camino Real Ste 105, Encinitas, CA 92024-5821 Ph: (760) 230-2317 |
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