Sport, Spine & Orthopedic in San Luis Obispo - Physical Therapist
Sport, Spine & Orthopedic - NPI 1043305824
Sport, Spine & Orthopedic is a Physical Therapist in San Luis Obispo, California. Sport, Spine & Orthopedic practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Sport, Spine & Orthopedic is 1043305824. The last update date is 2011-11-22.
Sport, Spine & Orthopedic's current location address is 862 Meinecke Ave, San Luis Obispo, California. You can contact this provider via phone number 8055414717 and fax number 8055414235. The mailing address for Sport, Spine & Orthopedic is 862 Meinecke Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sport, Spine & Orthopedic |
|---|---|
| Address | 862 Meinecke Ave, San Luis Obispo, California |
| Phone Number | 8055414717 |
| Fax Number | 8055414235 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | St Vincent Edwin Charles |
| Credentials | PT |
| Telephone Number | 8055414717 |
NPI Number Detail
| NPI Number | 1043305824 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2011-11-22 |
Provider Mailing Address Detail
| Address | 862 Meinecke Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934053702 |
| Phone Number | 8055414717 |
| Fax Number | 8055414235 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the Sport, Spine & Orthopedic's 1043305824?
The Sport, Spine & Orthopedic's NPI (National Provider Identifier) Number is 1043305824. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sport, Spine & Orthopedic's facilities are situated?
The facilities of Sport, Spine & Orthopedic are physically located at the following address: 862 Meinecke Ave, San Luis Obispo, CA, 934053702.
What is Sport, Spine & Orthopedic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sport, Spine & Orthopedic is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Sport, Spine & Orthopedic receive the assignment of its 1043305824 from the Centers for Medicare & Medicaid Services?
The Sport, Spine & Orthopedic was issued its 1043305824 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information pertaining to Sport, Spine & Orthopedic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sport, Spine & Orthopedic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-22.