OrganizationActive
Vital Physical Therapy Inc.
NPI 1174867154 · Cardiopulmonary Physical Therapist · San Diego, CA
Provider details
- NPI number
- 1174867154
- Entity type
- Organization
- Primary specialty
- Cardiopulmonary Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Komal Deokule, President(858) 255-7976
- License
- 35986 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5820 Oberlin Dr Ste 111
San Diego, CA 92121-3743
Phone: (858) 255-7976
Fax: (858) 255-7969
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 910883
San Diego, CA 92191-0883
Additional practice locations (1)
- 2555 Camino Del Rio SSte 102San Diego, CA 92108-3704Phone: (858) 255-7976Fax: (858) 255-7969
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2018-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.