Lead the Pack Physiotherapy Corp
NPI #1679100242 in Solana Beach, California
Provider Information
- NPI Number
- 1679100242
- Entity Type
- Organization
- Organization Name
- Lead the Pack Physiotherapy Corp
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 24, 2020
- Last Updated
- Mar 24, 2020
Practice Location
- Address
- 873 STEVENS AVE APT 3202
- City
- Solana Beach
- State
- California
- ZIP Code
- 92075-2705
- Phone
- (858) 252-8067
Authorized Official
- Name
- DR. RYAN PATRICK CANNON, PT, DPT
- Title
- PRESIDENT
- Phone
- (858) 252-8067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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