PREMIER SPORTS MEDICINE AND PHYSICAL THERAPY
Physical Therapy at River St, Santa Cruz, CA

License number
California 25727
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: ERIC INGRAM
Title: OWNER
Phone: (831) 457-1800
Address
Address
1003 River St SUITE C, Santa Cruz, CA 95060
National Provider ID: 1629238191
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER SPORTS MEDICINE AND PHYSICAL THERAPY, INC

PO Box 3751, Santa Cruz, CA 95063

Industry:
Health Practitioner's Office, Offices of Health Practitioners, Nsk
Registration:
May 12, 2008
State ID:
C3100263
Business type:
Articles of Incorporation
President:
Eric Michael Ingram (President)

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