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Clear Passage Therapies Orange County, INC.

Clinic/Center, Physical Therapy in Irvine, CA. Organization (NPI-2).

NPI number1114101243
StatusActive
Last updated in NPPESDec 26, 2007

Details

NPI
1114101243
Entity type
Organization (NPI-2)
Legal business name
Clear Passage Therapies Orange County, INC.
Organization subpart
Yes
Enumeration date
Dec 26, 2007
Last updated
Dec 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

18271 McDurmott Street
Ste J
Irvine, CA 92614

Phone 866-222-9437

Mailing address

3600 Nw 43rd St Ste A1
Gainesville, FL 32606-8138

Authorized official

Tracy Wagner
Corporate Administrator
3523361433

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