Precision Physical Therapy and Wellness
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  • Home
  • ABOUT
    • The Team
    • Career Opportunities
    • News
  • SERVICES
    • Physical Therapy
    • Athletic Injuries
    • Injury Prevention
    • Geriatrics
    • Neurological
    • Vestibular Therapy/ Vertigo
    • Workers' Compensation
    • Prevention & Wellness
  • Locations
    • San Luis Obispo Clinic
    • Avila Beach Clinic
  • Physician Resources
  • PATIENTS
    • What To Expect
    • New Patients
    • Insurance and Medicare
    • Testimonials
  • Contact

Spotlight on Dr. Melissa TenKate: Expert in Running Rehab

10/12/2024

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We’re thrilled to shine the spotlight on Dr. Melissa TenKate, one of our dedicated physical therapists here at Precision Physical Therapy and Wellness! Since joining our team in October 2020, Melissa has brought her expertise and passion for helping people back to health. With a Doctorate of Physical Therapy from Chapman University and a Bachelor’s degree in Exercise Science from Hillsdale College, she’s got the knowledge and experience to back up her hands-on care.

Melissa’s journey began in Michigan, where she grew up and completed her undergraduate studies. During her time at Hillsdale, she was an active member of the cross country and track and field teams, which only deepened her love for physical fitness and movement. After earning her Bachelor’s in 2012, Melissa’s passion for the outdoors led her to sunny California, where she completed her Doctorate in 2015. 

One of the areas where Melissa truly excels is in treating running-related injuries. With additional training in this specialty, she’s the go-to therapist for runners of all levels, whether you’re training for your first 5K or recovering from a marathon. But her skills don’t stop there—Melissa enjoys working with patients of all ages, helping them get back to the activities they love, whether that’s running, gardening, or just playing with the grandkids. She’s also a PWR! Moves Certified Therapist, which means she’s specially trained to work with individuals with Parkinson’s disease, helping them maintain their mobility and quality of life.

When she’s not in the clinic, you’ll likely find Melissa embracing her love for the outdoors. Whether it’s running, hiking, backpacking, or snowboarding, she’s always on the move, exploring new trails and soaking up the natural beauty around her. Her enthusiasm for staying active isn’t just something she preaches—it’s a way of life that she brings into her work every day, inspiring her patients to keep moving and stay healthy. We’re so lucky to have Melissa on our team, and we know our patients are, too!
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Dr. Melissa TenKate
PT, DPT
Doctor of Physical Therapy
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Meet Dr. Brianna Darneal - SLO Native & Vestibular Rehabilitation Specialist

8/29/2024

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We are back to bring you another glimpse into Precision and our dedicated team of doctors, this time introducing you to Dr. Brianna Darneal!

​Brianna joined our team in September 2021, bringing with her a unique blend of skills and a passion for helping others. She earned her Doctorate of Physical Therapy from Chapman University in 2019, but her academic journey started at the University of California, Santa Cruz, where she double-majored in Film and Digital Media and Art. Her creative background gives her a fresh perspective on problem-solving and movement analysis, which she uses to help her patients thrive.

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Brianna is a San Luis Obispo native, so she knows the area like the back of her hand. When she’s not at the clinic, you can find her dancing—whether it’s ballet, salsa, west coast swing, or blues! She also loves exploring the beautiful hiking trails and beaches around town, and spending quality time with her husband and young son. Her love for movement and the outdoors shines through in her work, where she’s dedicated to helping her patients feel their best.
Dr. Brianna Darneal
Dr. Brianna Darneal
​PT, DPT, Doctor of Physical Therapy
​Vestibular & Concussion Physical Therapy Specialist
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Specializing in treating orthopedic and neurological conditions, Brianna uses her skills to create personalized treatment plans for her patients. She’s also trained in vestibular rehabilitation and is LSVT Big certified, which means she’s well-equipped to help patients with Parkinson’s disease improve their mobility and quality of life. One of the things Brianna loves most about being a physical therapist is seeing the progress her patients make—whether it’s less pain, more confidence, or just feeling better overall.
Looking ahead, Brianna is excited about building a vestibular rehabilitation program right here in San Luis Obispo. She’s passionate about expanding the services we offer and making sure our community has access to the best care possible. We’re so happy to have Brianna on our team, and we know our patients are in great hands with her!
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Meet Dr. Ally Gary: One of Our Newest Team Members at Precision Physical Therapy and Wellness!

7/12/2024

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We are excited to introduce you to the newest member of our team, Dr. Ally Gary! She joined us in January 2024 and has already brought an incredible amount of energy and expertise to our clinic.

Dr. Ally earned her Doctorate of Physical Therapy from Drexel University in 2018, building on her foundation with a B.S. in both Human Physiology and Psychology from the University of Oregon, completed in 2015. With such a strong background, it’s no wonder she’s become such a skilled and knowledgeable physical therapist!

Originally from Livermore, CA, Ally spent the last eight years soaking up the vibrant culture of Philadelphia. Although she misses the city’s fantastic food, she’s absolutely loving life on the Central Coast, especially being closer to her family.

Ally’s professional credentials are equally impressive. She achieved her board certification in Orthopedics in 2023, and she has a wealth of experience working with a variety of populations, including workers compensation cases, geriatrics, and sports injuries. She has a true passion for helping her patients through their rehabilitation journeys, ensuring they return to active, pain-free lifestyles.
Dr. Allison Gary - Precision Physical Therapy
Dr. Allison Gary
PT, DPT, OCS
​Doctor of Physical Therapy
​Board Certified Specialist in Orthopedics

In her downtime, Ally is quite the adventurer. She enjoys running, learning to surf, and hiking with her loyal shepherd, Sam. They’re often exploring the beautiful trails and beaches SLO County has to offer.

We’re thrilled to have Ally on board and can’t wait for you to benefit from her expertise and dedication. Whether you’re recovering from an injury or seeking to improve your physical health, Ally is here to support you every step of the way.

Come by the clinic to meet Ally and start your journey to wellness with her!
Dr. Ally Gary and Sam
Dr. Ally Gary and Sam
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Get to Know Heather Hamaguchi: Your Trusted Physical Therapist at Precision Physical Therapy

5/10/2024

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PictureDr. Heather Hamaguchi
Meet Heather Hamaguchi, a valued member of our team at Precision Physical Therapy and Wellness! Heather joined us in July 2021, bringing with her unique experience and a deep-rooted passion for helping others achieve their health and wellness goals.

Heather's journey in physical therapy began with her Doctorate of Physical Therapy from Azusa Pacific University in 2019. Previously, she obtained her Bachelors of Science in Health, Exercise, and Sport Sciences, with a minor in Biology, from the University of the Pacific in 2016.

Heather achieved her board certification in Orthopedics in 2023, is a PWR! Moves Certified Therapist, and has also earned her vestibular and concussion certification. She enjoys working with a wide variety of patient populations and helping people recover to get back to doing what they love.

Coming to us from San Mateo, she has always had a love for outdoor adventures. In her spare time, you can often find her hiking scenic trails, catching waves while surfing, exploring new destinations through travel, or simply enjoying quality time with friends and family. Her affinity for the Central Coast drew her back, where she is thrilled to be practicing as a physical therapist.

Heather's compassionate approach and dedication to her clients make her a trusted ally in their journey to recovery and improved well-being. Whether you're recovering from an injury, managing a chronic condition, or seeking to enhance your overall fitness, Heather is committed to providing personalized care tailored to your specific needs.

If you're in search of a caring and experienced physical therapist to guide you on your path, schedule an appointment today and experience the difference Heather can make in your life.



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Meet Dr. Abby Friesen: Your Dedicated Physical Therapist at Precision Physical Therapy and Wellness

3/21/2024

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At Precision, we pride ourselves on having a team of dedicated professionals committed to your health and well-being. Among them is Dr. Abigail “Abby” Friesen. Dr. Abby, a compassionate and skilled Physical Therapist who joined our practice in August 2022.

Dr. Abby's journey into physical therapy began with a Bachelor's degree in Exercise Science from Southwest Baptist University, where she was a member of the cross country and track and field teams. Her passion for understanding the human body and optimizing its function led her to pursue a Doctorate in Physical Therapy, solidifying her commitment to helping others overcome physical challenges and achieve their goals.

From Olathe, Kansas, Dr. Abby brings with her a love for her hometown and its sports teams. However, her move to California has opened up a world of new adventures, which she embraces. Whether it's exploring the great outdoors, traveling to new places, diving into a good book, or engaging in friendly competition through games and sports, Dr. Abby finds joy in staying active and experiencing life to the fullest.

Dr Abigail
Dr. Abigail Friesen
PT, DPT, Doctor of Physical Therapy, Licensed Physical Therapist, Certified PWR! Therapist (Parkinson Wellness Recovery)

Dr. Abigail Friesen - Precision Physical Therapy and Wellness
Dr. Abigail Friesen - Precision Physical Therapy and Wellness
What truly sets Dr. Abby apart is her genuine care for her patients. Drawing from her own experiences as an athlete, she understands the frustration and setbacks that can come with injury. Clients describe Dr. Abby as “encouraging,” “positive,” “empathetic,” and “kind.” This empathy leads to affinity for working with runners and all kinds of athletes. She is not just a physical therapist, she's a partner in your recovery journey, committed to helping you reach your full potential.

Experience the difference with Dr. Abby and the rest of our team at Precision Physical Therapy and Wellness. Your journey to recovery starts here.
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Meet Dr. Kristen Carless

2/27/2024

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In the competitive healthcare industry, Precision Physical Therapy and Wellness stands out under the co-ownership and expert guidance of Dr. Kristen Carless. As a woman business owner, wife, and working mother of two small children, Dr. Carless embodies the essence of multifaceted commitment, blending her roles to offer compassionate care to her patients. She brings that multifaceted perspective to her patients, ensuring that each individual's journey toward wellness is both personalized and deeply understanding.

Strong Educational Foundation For Expert Care
Dr. Carless' educational background is impressive. She holds a Bachelor of Science in Kinesiology from California Polytechnic State University, San Luis Obispo, and a Doctorate from the University of St. Augustine for Health Sciences. Her academic achievements set the stage for a career that combines her passion for active living with a dedication to quality healthcare. As an orthopedic specialist, Dr. Carless' expertise in physical therapy is not just a profession but a reflection of her commitment to staying ahead in her field, constantly updating her knowledge to provide innovative and effective patient care.
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Dr. Kristen Carless
PT, DPT, OCS, Doctor of Physical Therapy Board Certified Specialist in Orthopedics
Comprehensive & Empathetic Care
As a co-owner, Dr. Carless' leadership at Precision Physical Therapy and Wellness goes beyond mere business management. She fosters an environment of comprehensive, empathetic care, ensuring that her clinic is not just a healthcare provider but a supportive community for every patient. Her extensive work as a certified Parkinson's Wellness Recovery (PWR) therapist and experience with Central Coast Home Health further amplify her dedication to serving diverse communities with top-tier healthcare education and services.
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Healthy Work-Life Balance
Dr. Carless navigates the challenges of being a business owner, a healthcare professional, and a mother with grace and resilience. Her active lifestyle is not just a personal choice but a living testament to her belief in the power of physical activity for overall well-being. Her commitment to maintaining a healthy work-life balance is an example for her patients, demonstrating that personal health and professional success can go hand in hand.

Precision Physical Therapy and Wellness, under Dr. Carless' leadership, is more than a healthcare facility; it's a testament to the impact of a woman's perspective in healthcare. Dr. Carless' journey as a female business owner, professional, wife, and mother is a compelling narrative that adds depth and relatability to her role in patient-centered care. Her dedication to providing the best possible care is a source of inspiration for positive change in the healthcare industry.

A Real Wellness Partner
Patients seeking not only treatment but a partnership in their wellness journey will find in Dr. Carless and Precision Physical Therapy and Wellness an ally equipped with expertise, empathy, and a deep-rooted commitment to empowering lives through exceptional care.
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Precision Physical Therapy: Vestibular Treatment

11/2/2021

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(San Luis Obispo, CA) Precision Physical Therapy and Wellness 

The vestibular system covers a small portion of the human body, including parts of the inner ear and brain, yet significantly affects the whole body when it hinders physical movement and cognitive functions. 

​Vestibular rehabilitation therapy, or VRT, is used to treat patients who have a form of vestibular disease. This is a special form of physical therapy, and includes a range of treatments to address the specific needs of vestibular patients. 

Precision Physical Therapy is unique in that both clinics (San Luis Obispo and Avila Beach) treat vestibular disease. At both locations, Precision provides services to treat a variety of diagnoses. Services include a clinical assessment, individualized exercises, vestibular education, as well as exercises to address the common symptoms which include dizziness, lightheadedness, vertigo (a sensation that the room or world is spinning), blurred vision, nausea, sensitivity to light or sound, disequilibrium, rocking, and imbalance. ​
There are two physical therapists at Precision who are able to treat patients with vestibular disease:Dr. Brianna Darneal and Dr. Heather Hamaguchi. Dr. Brianna Darneal obtained her undergraduate degrees from UC Santa Cruz, and her doctorate of physical therapy from Chapman University. Dr. Heather Hamaguchi completed her undergraduate degree at the University of Pacific, and her doctorate of physical therapy at Azusa Pacific University.

Vestibular disease affects patients’ everyday life by making it difficult to move, change positions, and concentrate, which “can impact a person’s ability to work, read, walk, or participate in recreational activities”, according to Darneal. It is rewarding for Dr. Darneal and Dr. Hamaguchi to work with vestibular patients, as it “helps to increase their safety and quality of life”, says Dr. Hamaguchi. 

The Precision physical therapists aim to help steadily improve patients who are suffering from the symptoms caused by vestibular disease. This is achieved by making a customized at-home exercise plan for patients. Similar to regular physical therapy, following the at-home exercise plan is essential for patients to see progress.

Dr. Darneal says that “patients start to see progress within 7-10 days of performing their home exercise program as prescribed”. 

In addition, Dr. Hamaguchi says progress is made because “physical therapy can help realign aspects of the vestibular system, if indicated, and can help retrain your body and other systems to improve balance and dizziness”.

Another important aspect of VRT is the educational component. There is a level of anxiety and fear that comes with vestibular disease because of the wide range of symptoms and lack of understanding about the disease. This is why the Precision team focuses on educating the patient about their specific case, what they can expect, and the type of treatment needed to help their condition. 

One unique aspect about treating vestibular patients compared to other patients is that “for a vestibular patient to improve their symptoms, we need to exercise their use of the vestibular system which often means that the exercises will make a patient feel dizzy”, according to Darneal. Although this approach seems counterintuitive, this type of treatment is essential because provoking dizziness will challenge the patient’s balance to then later resolve the problem. 
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The physical therapists at Precision are excited about the opportunities to expand vestibular treatment. Dr. Darneal is looking forward to partnering with local ear, nose and throat providers to provide interdisciplinary care for patients with balance and dizziness impairments, and she hopes to “improve access and awareness of physical therapy as a way to treat symptoms of dizziness and imbalance for patients on the Central Coast”. Dr. Hamaguchi hopes to “spread awareness of how physical therapy and vestibular rehabilitation therapy can be impactful and beneficial in helping patients recover from vestibular disorders”.

About Precision Physical Therapy and Wellness
​
Precision Physical Therapy and Wellness is a locally owned and operated physical therapy clinic.  All physical therapists are certified to treat a variety of diagnoses and pride themselves on providing specialized care timely and effectively. The mission of Precision is to produce healthy, happy, and engaged patients through proven therapeutic services and evidence-based practice. Precision has two convenient locations: in San Luis Obispo, located at 211 Tank Farm Rd., Suite A (across from Farm Supply), and in Avila Beach at the Avila Bay Athletic Club, located at 6699 Bay Laurel Place. For more information, call (805) 439-3900 and find Precision at www.PrecisionPTW.com and on Facebook, Twitter, and Instagram @PrecisionPTW.

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Precision's PWR! Certified Physical Therapists

10/22/2021

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(San Luis Obispo, CA) Precision Physical Therapy and Wellness is excited to announce that we now have five physical therapists who are PWR! Moves certified. 

​Parkinson’s disease is a neurological disorder that affects the central nervous system, which has an overwhelming impact on everyday physical movement. 

​Treatment for Parkinson’s disease requires special training. Physical therapists must be Parkinson’s Wellness Recovery Moves (also known as PWR! Moves) certified, which means they know how to treat patients with the symptoms of Parkinson’s, such as slow movement, stiffness, and loss of balance. 

PWR! Moves certified physical therapists help patients during the rehabilitation process by maintaining or improving the movements that patients lose as a result of this disease. This treatment is imperative for patients so they are not weighed down in their everyday life by the physical inabilities of Parkinson’s disease. PWR! Moves also make sure patients do not become vulnerable to life-threatening conditions, which are enabled when a body suffers the physical effects of Parkinson’s. 

Precision Physical Therapy is proud to be one of the only clinics on the central coast that is able to treat Parkinson’s patients. There are five physical therapists at Precision who are PWR! Moves certified: Dr. Kristen Carless, Dr. Melissa TenKate, Dr. Heather Hamaguchi, Dr. Brianna Darneal, and Dr. Emily Mulhern.

About Precision Physical Therapy and Wellness
Precision Physical Therapy and Wellness is a locally owned and operated physical therapy clinic. Precision prides itself on offering a “48 Hour Appointment Guarantee” from a patient’s initial call (48 Hour Appointment Guarantee does not apply to Vestibular Therapy). All physical therapists are certified to treat a variety of diagnoses and pride themselves on providing specialized care timely and effectively. The mission of Precision is to produce healthy, happy, and engaged patients through proven therapeutic services and evidence-based practice. Precision had two convenient locations: in San Luis Obispo, located at 211 Tank Farm Rd., Suite A (across from Farm Supply), and in Avila Beach at the Avila Bay Athletic Club, located at 6699 Bay Laurel Place. For more information, call (805) 439-3900 and find Precision at www.PrecisionPTW.com and on Facebook, Twitter, and Instagram @PrecisionPTW.
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Precision Physical Therapy and Wellness Welcomes Physical Therapist, Dr. Brianna Darneal

10/14/2021

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Dr. Brianna Darneal, PT, DPT
Doctor of Physical Therapy
(San Luis Obispo, CA) Precision Physical Therapy and Wellness, , a premier physical therapy clinic on the Central Coast, is excited to announce the addition of Dr. Brianna Darneal to their team.

​Darneal’s physical therapy expertise is in treating patients with orthopedic and neurological conditions. She is also trained in vestibular rehabilitation to help patients with dizziness, vertigo and balance impairments, in addition to being LSVT Big certified to care for patients with Parkinson’s disease. Darneal is passionate about the educational side of physical therapy and teaching patients about anatomy, movement science and treatments. She believes this education empowers patients by giving them “the tools and confidence they need in order to make a full recovery”. 

In 2010 Darneal received a bachelor’s degree in Film and Digital Media and Art from University of California, Santa Cruz. She went to Chapman University to earn her Doctor of Physical Therapy degree in 2019. 

When asked why she loves being a physical therapist, Darneal stated that she loves using her “skills in problem solving and movement analysis in order to get to the root of the issue and to then develop a personalized treatment plan for my patients”. She gets excited when she gets to “see a patient leave feeling less pain, more confident or more optimistic”. 


About Precision Physical Therapy and Wellness
Precision Physical Therapy and Wellness is a locally owned and operated physical therapy clinic. Precision prides itself on offering a “48 Hour Appointment Guarantee” from a patient’s initial call (48 Hour Appointment Guarantee does not apply to Vestibular Therapy). All physical therapists are certified to treat a variety of diagnoses and pride themselves on providing specialized care timely and effectively. The mission of Precision is to produce healthy, happy, and engaged patients through proven therapeutic services and evidence-based practice. Precision had two convenient locations: in San Luis Obispo, located at 211 Tank Farm Rd., Suite A (across from Farm Supply), and in Avila Beach at the Avila Bay Athletic Club, located at 6699 Bay Laurel Place. For more information, call (805) 439-3900 and find Precision at www.PrecisionPTW.com and on Facebook, Twitter, and Instagram @PrecisionPTW.


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Precision Physical Therapy and Wellness Welcomes Physical Therapist, Dr. Heather Hamaguchi

10/4/2021

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Dr. Heather Hamaguchi, PT, DPT
Doctor of Physical Therapy

(San Luis Obispo, CA) Precision Physical Therapy and Wellness,  a premier physical therapy clinic on the Central Coast, is excited to announce the addition of Dr. Heather Hamaguchi to their team.

Hamaguchi is a well-rounded physical therapist, who has completed her PWR!Moves certification, as well as her BFR and Vestibular and concussion certifications. These certifications extend well beyond the education needed to become a Physical Therapist. With this training she is now able to treat patients with Parkinson’s disease, in addition to helping those who need blood flow restriction training and vestibular rehabilitation. 

Hamaguchi completed her undergraduate education in 2016 at Pacific University, where she earned a bachelors of science degree in Health, Exercise, and Sports Sciences, in addition to a minor in biology. Her graduate education continued until 2019 at Azusa Pacific, where she pursued a doctorate of Physical Therapy degree. 

​The reason Hamaguchi became a Physical Therapist was because she loves being able to help people recover in order for them to get back to doing their normal activities. She also enjoys that an opportunity for physical therapy extends to being able to meet and connect with people. 

About Precision Physical Therapy and Wellness
​Precision Physical Therapy and Wellness is a locally owned and operated physical therapy clinic. Precision prides itself on offering a “48 Hour Appointment Guarantee” from a patient’s initial call (48 Hour Appointment Guarantee does not apply to Vestibular Therapy).All physical therapists are certified to treat a variety of diagnoses and pride themselves on providing specialized care timely and effectively. The mission of Precision is to produce healthy, happy, and engaged patients through proven therapeutic services and evidence-based practice. Precision had two convenient locations: in San Luis Obispo, located at 211 Tank Farm Rd., Suite A (across from Farm Supply), and in Avila Beach at the Avila Bay Athletic Club, located at 6699 Bay Laurel Place. For more information, call (805) 439-3900 and find Precision at www.PrecisionPTW.com and on Facebook, Twitter, and Instagram @PrecisionPTW.
 

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Precision Physical Therapy and Wellness
SLO Clinic:
​211 Tank Farm Road, Suite A
San Luis Obispo, CA  93401
Phone (805) 439-3900
​Fax: (805) 439-3901
Precision Physical Therapy Building
Avila Beach Clinic:
6699 Bay Laurel Place
Avila Beach, CA  93424
Phone (805) 439-3900
​Fax: (805) 439-3901
Precision Physical Therapy and Wellness at Avila Bay Athletic Club
Hours
Monday -  Friday     7 AM - 7 PM
Saturday                   By appointment
Sunday                     By appointment
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​211 Tank Farm Rd., Suite A, ​San Luis Obispo, CA 93401
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