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Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Other names
ProSport Physical Therapy Rancho Santa Marg., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL (PRESIDENT)
(209) 353-1988
Entity
Organization
Contact information
Practice address
22521 AVENIDA EMPRESA STE 116-117, RANCHO SANTA MARGARITA, CA 92688-2044
(949) 766-8535
(949) 766-8540
Mailing address
PO BOX 14155, ORANGE, CA 92863-1555
(949) 766-8535
(949) 766-8540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
12/06/2023
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