| |
533 Five Cities Dr Ste C6, Pismo Beach, CA 93449-3006 | |
(805) 489-7912 | |
(805) 489-9697 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 533 Five Cities Dr Ste C6, Pismo Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235147828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | 533 Five Cities Dr Ste C6, Pismo Beach, CA 93449-3006 Ph: (805) 489-7912 |