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Organization
PRIME PHYSICAL THERAPY CORP
Active
Organization
PRIME PHYSICAL THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D MAGA MPT (OWNER)
(714) 620-8980
Entity
Organization
Contact information
Practice address
12832 GARDEN GROVE BLVD, STE B, GARDEN GROVE, CA 92843-2002
(714) 620-8980
(714) 620-8982
Mailing address
12832 GARDEN GROVE BLVD, STE B, GARDEN GROVE, CA 92843-2002
(714) 620-8980
(714) 620-8982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25552
CA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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