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Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Other names
ProSport Physical Therapy-Laguna Hills, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL (PRESIDENT)
(209) 353-1988
Entity
Organization
Contact information
Practice address
23001 DEL LAGO DR, SUITE C-1, LAGUNA HILLS, CA 92653-1354
(949) 387-7333
(949) 916-7309
Mailing address
PO BOX 14155, ORANGE, CA 92863-1555
(714) 450-4999
(714) 974-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
12/06/2023
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