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Organization
SPORTS MEDICINE INSTITUTE A PROFESSIONAL PHYSICAL THERAPY CORP
Active
Organization
SPORTS MEDICINE INSTITUTE A PROFESSIONAL PHYSICAL THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M BOESEL DPT (OWNER PRESIDENT)
(714) 939-6200
Entity
Organization
Contact information
Practice address
415 W TAFT AVE STE E, ORANGE, CA 92865-4249
(714) 939-6200
(714) 939-6500
Mailing address
415 W TAFT AVE STE E, ORANGE, CA 92865-4249
(714) 939-6200
(714) 939-6500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/01/2005
Last updated
10/01/2024
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