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Organization
PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.
Active
Organization
PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN LEFEBVRE DPT (OWNER)
(949) 716-4889
Entity
Organization
Contact information
Practice address
25231 PASEO DE ALICIA STE 110, LAGUNA HILLS, CA 92653-4615
(949) 716-4889
(949) 716-4963
Mailing address
25231 PASEO DE ALICIA STE 110, LAGUNA HILLS, CA 92653-4615
(949) 716-4889
(949) 716-4963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT37989
CA
Other
Enumeration date
07/13/2016
Last updated
01/06/2017
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