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Organization
OC NECK & BACK THERAPY, INC.
Active
Organization
OC NECK & BACK THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOHDAN POLNY (PRESIDENT)
(949) 851-5900
Entity
Organization
Contact information
Practice address
20151 SW BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-1793
(949) 851-5900
(949) 851-5901
Mailing address
20151 SW BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-1793
(949) 851-5900
(949) 851-5901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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