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Organization
THE KINETIC CHAIN PHYSICAL THERAPY
Active
Organization
THE KINETIC CHAIN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA L VANSURKSUM PT (OWNER)
(949) 552-9100
Entity
Organization
Contact information
Practice address
12 MAUCHLY STE A, IRVINE, CA 92618-2394
(949) 552-9100
(949) 552-9102
Mailing address
12 MAUCHLY STE A, IRVINE, CA 92618-2394
(949) 552-9100
(949) 552-9102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21471
CA
Other
Enumeration date
07/29/2006
Last updated
10/06/2022
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