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Organization

TOTAL BODY REHABILITATION, INC.

Active
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Organization

TOTAL BODY REHABILITATION, INC.

Active
Other names
Pure Pilates
Organization subpart
No

Provider details

NPI number
Authorized official
AMY FISCHER P.T. (OWNER)
(949) 249-2456
Entity
Organization

Contact information

Practice address
210 NEWPORT CENTER DR, SUITE 3, NEWPORT BEACH, CA 92660-7530
(949) 719-2600
(949) 719-2626
Mailing address
30301 GOLDEN LANTERN, SUITE B, LAGUNA NIGUEL, CA 92677-5990
(949) 249-2456
(949) 249-2365

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT24777
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT24777
STATE LICENSE
CA
Enumeration date
04/23/2007
Last updated
10/02/2008
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