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Organization
MIRAGE PHYSICAL THERAPY, INC
Active
Organization
MIRAGE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD IAN MCNEILL M.P.T. (OWNER DIRECTOR)
(760) 328-3950
Entity
Organization
Contact information
Practice address
35900 BOB HOPE DR, SUITE# 225, RANCHO MIRAGE, CA 92270-1766
(760) 328-3950
(760) 328-3951
Mailing address
35900 BOB HOPE DR, SUITE# 225, RANCHO MIRAGE, CA 92270-1766
(760) 328-3950
(760) 328-3951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT23575
CA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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