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Organization
SURFSIDE PHYSICAL THERAPY INC
Active
Organization
SURFSIDE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY LEE HOOD PT (CHIEF EXECUTIVE OFFICER)
(714) 454-0069
Entity
Organization
Contact information
Practice address
10 SURFSIDE CT, NEWPORT BEACH, CA 92663-2118
(714) 454-0069
(714) 475-3817
Mailing address
10 SURFSIDE CT, NEWPORT BEACH, CA 92663-2118
(714) 454-0069
(714) 475-3817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
03/23/2024
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