Healthcare Provider Details

I. General information

NPI: 1538539333
Provider Name (Legal Business Name): FXNL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 TOPAZ LAKE AVE
SAN DIEGO CA
92119-3347
US

IV. Provider business mailing address

7950 TOPAZ LAKE AVE
SAN DIEGO CA
92119-3347
US

V. Phone/Fax

Practice location:
  • Phone: 973-769-5894
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number11302
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH DIFRANCISCO
Title or Position: PRESIDENT
Credential: OT
Phone: 973-769-5894