# THERAPRO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ETECH MILLENNIUM INC
- **Other names:** Therapro
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518919638
- **Legal business name:** ETECH MILLENNIUM INC
- **Authorized official:** ERIC ALAN BAKER (PRESIDENT)
- **Authorized official phone:** (949) 492-7933

## Contact information

- **Practice address:** 410 CALLE MACHO, SAN CLEMENTE, CA 92673
- **Practice address phone:** (949) 492-7933
- **Practice address fax:** (949) 492-8636
- **Mailing address:** 410 CALLE MACHO, SAN CLEMENTE, CA 92673
- **Mailing address phone:** (949) 492-7933
- **Mailing address fax:** (949) 492-8636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT11551 | CA | — |
| 2251G0304X | Geriatric Physical Therapist | PT22644 | CA | Yes |
| 225200000X | Physical Therapy Assistant | AT5398 | CA | — |
| 225200000X | Physical Therapy Assistant | AT6605 | CA | — |
| 225X00000X | Occupational Therapist | OT722 | CA | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 10/20/2008