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Organization
NEW LIFE REHABILITATION, INC.
Active
Organization
NEW LIFE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC MANNA (PRESIDENT)
(714) 848-7191
Entity
Organization
Contact information
Practice address
17122 BEACH BLVD, STE 101, HUNTINGTON BEACH, CA 92647-5992
(714) 848-7191
(714) 375-7563
Mailing address
17122 BEACH BLVD, STE 101, HUNTINGTON BEACH, CA 92647-5992
(714) 848-7191
(714) 375-7563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17822
CA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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