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Organization
PHYSICAL RX PHYSICAL THERAPY, INC.
Active
Organization
PHYSICAL RX PHYSICAL THERAPY, INC.
Active
Other names
Physical Rx
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN GRANGE P.T., DPT, O.C.S. (PRESIDENT)
(714) 374-0233
Entity
Organization
Contact information
Practice address
2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
(714) 374-0233
(714) 374-0244
Mailing address
2130 MAIN ST STE 140, HUNTINGTON BEACH, CA 92648-6441
(714) 374-0233
(714) 374-0244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
NULL
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
NULL
2251H1200X
Hand Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
Primary
—
NULL
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225600000X
Dance Therapist
—
NULL
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15666
MEDICARE PTAN
CA
Enumeration date
10/26/2006
Last updated
05/19/2023
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