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Organization
OPTIMAL SELF CARE PHYSICAL THERAPY
Active
Organization
OPTIMAL SELF CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI CHRISTINE WINTER MPT (OWNER,PRESIDENT)
(815) 325-5815
Entity
Organization
Contact information
Practice address
67 E YALE LOOP, IRVINE, CA 92604-3336
(815) 325-5815
Mailing address
67 E YALE LOOP, IRVINE, CA 92604-3336
(815) 325-5815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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