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Organization
THE INJURY RECOVERY CENTER INC.
Active
Organization
THE INJURY RECOVERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOERNER P.T. (PRESIDENT)
(714) 785-6573
Entity
Organization
Contact information
Practice address
17352 VINEWOOD AVE, TUSTIN, CA 92780-2551
(714) 785-6573
(714) 730-0369
Mailing address
17352 VINEWOOD AVE, TUSTIN, CA 92780-2551
(714) 785-6573
(714) 730-0369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12770
CA
225X00000X
Occupational Therapist
OT 650
CA
225XH1200X
Hand Occupational Therapist
OT 650 1011100308
CA
Other
Enumeration date
11/18/2006
Last updated
03/14/2012
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