Organization · Type 2 NPI
Park Medical Physical Therapy, Prof Corp
Prosthetic/Orthotic Supplier · San Diego, CA
Practice location
4120 W Point Loma Blvd
San Diego, CA 92110-5605
Fax (619) 297-2752
Mailing address
4136 Bachman Pl
San Diego, CA 92103-2028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PT7388 (CA) |
| Customized Equipment (DME) | 332BC3200X | PT7388 (CA) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | PT7388 (CA) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
2 other providers at this address
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About NPI 1295904308
Park Medical Physical Therapy, Prof Corp's National Provider Identifier is 1295904308, issued on Feb 22, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 27, 2008.