# INDEPENDENCE PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184938078
- **Authorized official:** MR. MICHAEL PATRICK BRACKETT P.T. (OWNER/PRESIDENT)
- **Authorized official phone:** (949) 350-0322

## Contact information

- **Practice address:** 24572 MOSQUERO LN, MISSION VIEJO, CA 92691-4911
- **Practice address phone:** (949) 350-0322
- **Practice address fax:** (949) 597-0758
- **Mailing address:** 24572 MOSQUERO LN, MISSION VIEJO, CA 92691-4911
- **Mailing address phone:** (949) 350-0322
- **Mailing address fax:** (949) 597-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PT24421 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2010
- **Last updated:** 08/03/2010