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Organization
KINETIK PHYSICAL THERAPY INC
Active
Organization
KINETIK PHYSICAL THERAPY INC
Active
Other names
Kinetik Performance and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WAYNE KAPKA PT, DPT (OWNER, CFO)
(619) 733-8953
Entity
Organization
Contact information
Practice address
23382 MADERO STE A, MISSION VIEJO, CA 92691-2782
(949) 464-4009
Mailing address
23382 MADERO STE A, MISSION VIEJO, CA 92691-2782
(949) 464-4009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/05/2022
Last updated
05/02/2024
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