| Spine & Sport El Centro | |
|
1501 Ocotillo Dr, Suite B, El Centro, CA 92243-4217 | |
| (760) 679-0210 | |
| (760) 679-0213 |
| Full Name | Spine & Sport El Centro |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1501 Ocotillo Dr, El Centro, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528168333 | NPI | - | NPPES |
| 1295798676 | Other | CA | NPI |
| 1750344131 | Other | CA | NPI |
| 1821051202 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Sport El Centro 3670 Convoy Street, Suite 101, San Diego, CA 92111-3743 Ph: (888) 208-8526 | Spine & Sport El Centro 1501 Ocotillo Dr, Suite B, El Centro, CA 92243-4217 Ph: (760) 679-0210 |
Brandon Morlett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 | |
Dustin John Andrew Miller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-679-0210 Fax: 760-679-0213 | |
Amisha Kishen Lala, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 | |
Hoang Vu Le, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 | |
Miss Ann-marie Wurzbach, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 428 N Imperial Ave, El Centro, CA 92243 Phone: 760-353-3422 Fax: 760-353-9163 | |
Russell Dial, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 | |
Drue Alan Bosco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 |