| Vital Physical Therapy Inc. | |
|
5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | |
| (858) 255-7976 | |
| (858) 255-7969 |
| Full Name | Vital Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Cardiopulmonary |
| Location | 5820 Oberlin Dr Ste 111, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174867154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251C2600X | Physical Therapist - Cardiopulmonary | 35986 (California) | Primary |
| Provider Name | Komal Deokule |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134474877 PECOS PAC ID: 5294987970 Enrollment ID: I20121226000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Physical Therapy Inc. Po Box 910883, San Diego, CA 92191-0883 Ph: (858) 255-7976 | Vital Physical Therapy Inc. 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 Ph: (858) 255-7976 |
Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 | |
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 | |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 | |
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 | |
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 | |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Mrs. Linda Reid Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7487 |