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Organization
SANG KWAK PHYSICAL THERAPY, INC.
Active
Organization
SANG KWAK PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANG CHAE KWAK P.T. (PRESIDENT)
(714) 537-1234
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 707, GARDEN GROVE, CA 92843-1921
(714) 537-1234
(714) 537-3256
Mailing address
12665 GARDEN GROVE BLVD, SUITE 707, GARDEN GROVE, CA 92843-1921
(714) 537-1234
(714) 537-3256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332040
—
CA
Enumeration date
08/25/2006
Last updated
12/05/2014
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