| Rehabilitation Physical Therapy Inc. | |
| 
					11534 Valle Vista Rd Lakeside CA 92040-1321  | |
| (619) 443-5116 | |
| (619) 443-5347 | 
| Full Name | Rehabilitation Physical Therapy Inc. | 
|---|---|
| Speciality | Clinic/center | 
| Location | 11534 Valle Vista Rd, Lakeside, California | 
| Authorized Official Name and Position | Barbara H Nickerson (CEO) | 
| Authorized Official Contact | 6194435116 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rehabilitation Physical Therapy Inc. 11534 Valle Vista Rd Lakeside CA 92040-1321 Ph: (619) 443-5116  | Rehabilitation Physical Therapy Inc. 11534 Valle Vista Rd Lakeside CA 92040-1321 Ph: (619) 443-5116  | 
| NPI Number | 1235370776 | 
|---|---|
| Provider Enumeration Date | 03/12/2009 | 
| Last Update Date | 03/12/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235370776 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | PT2053 (California) | Primary | 
Larry J Marshall Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12517 Lakeshore Dr, Lakeside, CA 92040 Phone: 619-443-3843 Fax: 619-390-1810  | |
Neighborhood Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10039 Vine St, Lakeside, CA 92040 Phone: 619-390-9975 Fax: 619-390-9872  |