Gmpt
Physical Therapist in San Juan Capistrano, CA. Organization (NPI-2).
NPI number1194102004
StatusActive
Last updated in NPPESApr 29, 2015
Details
- NPI
- 1194102004
- Entity type
- Organization (NPI-2)
- Legal business name
- Gmpt
- Organization subpart
- No
- Enumeration date
- Apr 29, 2015
- Last updated
- Apr 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT29580 | CA | Yes |
Practice location
32302 Camino CapistranoSuite 107
San Juan Capistrano, CA 92675-4501
Phone 949-276-8845
Mailing address
32302 Camino CapistranoSuite 107
San Juan Capistrano, CA 92675-4501
Authorized official
Kim DO
Authorized Official
7142833242
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All 45 Physical Therapist providers in San Juan Capistrano · All 1,008 providers in San Juan Capistrano
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