Spark45 Fitness and Physical Therapy PC
NPI #1003281312 in Carpinteria, California
Provider Information
- NPI Number
- 1003281312
- Entity Type
- Organization
- Organization Name
- Spark45 Fitness and Physical Therapy PC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Dec 11, 2015
- Last Updated
- Feb 12, 2016
Practice Location
- Address
- 550 MAPLE ST
- Address 2
- B
- City
- Carpinteria
- State
- California
- ZIP Code
- 93013-3559
- Phone
- (805) 275-3000
Authorized Official
- Name
- DANIELLE BORDENAVE
- Title
- OWNER/CEO
- Phone
- (773) 623-9527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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