INNOVATIVE PHYSICAL THERAPY INC
Restorative Service Providers at Camino De La Siesta, San Diego, CA

License number
California PT12294
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: MS. MARILYN S JOHNSON P.T.
Title: PRESIDENT
Phone: (619) 260-0750
Address
Address
5030 Camino De La Siesta SUITE 220, San Diego, CA 92108
National Provider ID: 1821047580
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Innovative Physical Therapy, Inc

San Diego, CA

Registration:
Jan 20, 2006
Phone:
(858) 292-1443 (Phone)
Addresses:
5030 Camino De Ln Siesta, San Diego, CA 92108
7910 Frost St, San Diego, CA 92123
State ID:
C2824968
Business type:
Articles of Incorporation
President:
Marilyn Johnson (President)
Agent:
William R Simon,San Diego, CA 92104 (Physical)

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