OrganizationLa Jolla Physical Therapy Center, Inc.Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7450 Girard Ave, La Jolla, CA 92037-5142(858) 454-9769PECOS EnrollmentBased on the most recent information from CMS, provider La Jolla Physical Therapy Center, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861531469Provider TypeOrganizationFull NameLa Jolla Physical Therapy Center, Inc.SubpartNoEnumeration Date2/6/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address7450 Girard Ave, La Jolla, CA 92037-5142Phone(858) 454-9769Fax(858) 454-0384Mailing LocationMailing Address7450 Girard Ave, La Jolla, CA 92037-5142Phone(858) 454-9769Fax(858) 454-0384Authorized OfficialNameRichey, Audra (Office Manager)Phone(858) 454-9769Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT13574California