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Organization
SAN CLEMENTE PHYSICAL THERAPY INC
Active
Organization
SAN CLEMENTE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W REENDERS PT (CO OWNER PT)
(949) 240-0600
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES, SUITE 111, SAN CLEMENTE, CA 92673-2806
(949) 240-0600
(949) 240-7578
Mailing address
647 CAMINO DE LOS MARES, SUITE 111, SAN CLEMENTE, CA 92673-2806
(949) 240-0600
(949) 240-7578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 7668
CA
225100000X
Physical Therapist
Primary
PT 9681
CA
225200000X
Physical Therapy Assistant
AT 2864
CA
Other
Enumeration date
08/29/2006
Last updated
09/29/2008
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