| Organization Name: | G3 PHYSICAL THERAPY AND WELLNESS CENTER PC |
| NPI Number: | 1669845798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL VAN GILDER (OWNER) |
| Mailing Address: | 227 N El Camino Real Ste 100 Suite#100 Encinitas |
| State: | CA US |
| Postal Code: | 920245821 |
| Phone Number: | 7602051500 |
| Fax Number: | 7609944641 |
| NPI Enumeration Date: | 11/11/2015 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |