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1316107410
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE
SAN DIEGO, CA
NPI
1316107410
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Entity Type
Organization
Authorized Contact
JACK PENTLARGE
Owner
760-444-0102
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE
10806 WILLOW CT
SAN DIEGO, CA 92127-2428
Phone number: 858-381-5084
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Mailing Address
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE
6070 AVENIDA ENCINAS
CARLSBAD, CA 92011-1001
Phone number: 760-444-0102
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