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Organization
FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC.
Active
Organization
FUNCTIONAL TRAINING AND REHAB PHYSIOTHERAPY P.C. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MCCLUSKY DPT (PHYSICAL THERAPIST/OWNER)
(949) 202-9099
Entity
Organization
Contact information
Practice address
40679 BIG BEAR BOULEVARD, #3885, BIG BEAR LAKE, CA 92315
(949) 202-9099
Mailing address
40679 BIG BEAR BOULEVARD, #3885, BIG BEAR LAKE, CA 92315
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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