FUNCTION FOR LIFE PT INC
Managed Care Organizations at El Camino Real, Encinitas, CA

License number
California 40858
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: BRETT BLOOM DPT
Title: CFO, OWNER
Phone: (760) 230-2316
Address
Address
227 N El Camino Real SUITE 103, Encinitas, CA 92024
National Provider ID: 1811310170
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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