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NPI Code Detail

MEDICARE: PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP

MEDICARE: PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistC3123027CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155851OTHERCACITY BUSINESS LICENSE-ARROYO GRANDE, CA 93420
2C3123027OTHERCACORPORATION NUMBER

General Provider Information

NPI Number : 1013179597
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP
Provider Business Mailing Address
First Line : 880 OAK PARK BLVD
Second Line : SUITE 201
City : ARROYO GRANDE
State : CA
Zip : 93420-1821
Country : US
Telephone Number : 805-489-1477
Fax Number : 805-489-2356
Provider Business Practice Location Address
First Line : 880 OAK PARK BLVD
Second Line : SUITE 201
City : ARROYO GRANDE
State : CA
Zip : 93420-1821
Country : US
Telephone Number : 805-489-1477
Fax Number : 805-489-2356
Authorized Official
Title or Position : PRESIDENT
Name : JAMES MICHAEL DAVIS
Credential : D.C.
Telephone Number : 805-489-1477
Provider Enumeration Date : 06/26/2008
Last Update Date : 12/31/2008

Similar Medicare Providers

1124136528 — DAVIS CHIROPRACTIC INC
Practice Location Address:
880 OAK PARK BLVD , SUITE 201
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-489-1477
Practice Fax: 805-489-2356
1679661896 — JAMES R KUNKEL,M.D.,INC
Practice Location Address:
880 OAK PARK BLVD , SUITE #103
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-474-9550
Practice Fax:
1124108071 — MRS. SUZANNE ADELE SEALEY MPT
Practice Location Address:
880 OAK PARK BLVD , SUITE 202
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-473-7499
Practice Fax:
1912107772 — DR. KENNETH A. SPEARMAN MD
Practice Location Address:
880 OAK PARK BLVD STE 201
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-473-8346
Practice Fax: 805-473-2158
1669632212 — JAMES GUERRA P.T.
Practice Location Address:
880 OAK PARK BLVD , SUITE 202
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-473-7499
Practice Fax: 805-473-7494
1316225246 — RICHARD MARTIN, M.D. REHABILITATIVE AND RESTORATIVE MEDICINE INC.
Practice Location Address:
880 OAK PARK BLVD , SUITE 202
ARROYO GRANDE, CA
93420-1821
Practice Phone: 805-459-2508
Practice Fax: 805-473-6516

Directions to “PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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