Function for Life Pt

NPI #1194142299 in Encinitas, California

Provider Information

NPI Number: 1194142299
Entity Type: Organization
Organization Name: Function for Life Pt
Primary Specialty: Physical Therapist
Enumeration Date: Mar 26, 2014
Last Updated: Mar 26, 2014

Practice Location

Address: 227 N EL CAMINO REAL STE 105
City: Encinitas
State: California
ZIP Code: 92024-5821
Phone: (760) 230-2317

Authorized Official

Name: OLIVIA NUNEZ
Title: OFFICE MANAGER
Phone: (619) 251-0520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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