| NPI | 1528515806 |
|---|---|
| Doing Business As | ONE NINE SPORTS MEDICINE AND PHYSICAL THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | DAVE GERBARG President 858-848-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 39289) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2016-09-05 |