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NPI Code Detail

MEDICARE: SABRINA URSO

MEDICARE:   SABRINA  URSO
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 Therapist291715CA

General Provider Information

NPI Number : 1053836775
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA URSO
Provider Business Mailing Address
First Line : 9155 JUDICIAL DR APT 5521
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-4671
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9155 JUDICIAL DR APT 5521
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-4671
Country : US
Telephone Number : 516-434-9166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 08/03/2017

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Directions to “ SABRINA URSO ” Practice Location

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