| |
890 Shasta Ave Ste 2-a, Morro Bay, CA 93442-1933 | |
(805) 772-4325 | |
(805) 772-2886 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 890 Shasta Ave Ste 2-a, Morro Bay, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447268065 | 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 | 890 Shasta Ave Ste 2-a, Morro Bay, CA 93442-1933 Ph: (805) 772-4325 |