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Organization
REHAB AND REVIVE PHYSICAL THERAPY
Active
Organization
REHAB AND REVIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LIN DPT (EXECUTIVE DIRECTOR)
(714) 900-3880
Entity
Organization
Contact information
Practice address
3002 DOW AVE STE 506, TUSTIN, CA 92780-7237
(714) 900-3880
(714) 731-0932
Mailing address
3002 DOW AVE STE 506, TUSTIN, CA 92780-7237
(714) 900-3880
(714) 731-0932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35795
CA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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