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Bryan Rupke

Physical Therapist in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1447925474
StatusActive
Last updated in NPPESAug 11, 2021

Details

NPI
1447925474
Entity type
Individual (NPI-1)
Name
Bryan Rupke
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2021
Certification date
Aug 11, 2021
Last updated
Aug 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT300236CAYes

Practice location

2755 Bristol St Ste 130
Costa Mesa, CA 92626-5985

Phone 714-966-2950 · Fax 714-557-2487

Mailing address

2755 Bristol St Ste 130
Costa Mesa, CA 92626-5985

Phone 714-966-2950

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