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Organization
ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY
Active
Organization
ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY KASIMATIS DPT (OWNER)
(508) 331-8838
Entity
Organization
Contact information
Practice address
19742 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2408
(949) 825-6928
(949) 825-6948
Mailing address
PO BOX 4877, LAGUNA BEACH, CA 92652-4877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36457
CA
Other
Enumeration date
09/18/2014
Last updated
11/11/2014
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