| Organization Name: | RDM PHYSICAL THERAPY PC |
| NPI Number: | 1609210038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACEY LYNETTE KING (CLINIC DIRECTOR) |
| Mailing Address: | 3790 Via De La Valle Suite 205 And 206 Del Mar |
| State: | CA US |
| Postal Code: | 920144247 |
| Phone Number: | 8583506500 |
| Fax Number: | 8583506505 |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT36347 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |