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Organization
SOUTHLAND PHYSICAL THERAPY MISSION VIEJO CLINIC, PC
Active
Organization
SOUTHLAND PHYSICAL THERAPY MISSION VIEJO CLINIC, PC
Active
Parent organization
SOUTHLAND PHYSICAL THERAPY, INC
Other names
Southland Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHLAND PHYSICAL THERAPY, INC
Authorized official
SHAWN JEFFREY MEAD DPT (CLINICAL MANAGER)
(949) 627-8800
Entity
Organization
Contact information
Practice address
25565 JERONIMO RD, MISSION VIEJO, CA 92691-2707
(949) 627-8800
(949) 627-8801
Mailing address
25565 JERONIMO RD, MISSION VIEJO, CA 92691-2707
(949) 627-8800
(949) 627-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40531
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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