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Organization
THE BODY LAB PHYSICAL THERAPY INC.
Active
Organization
THE BODY LAB PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN HUNT (CLERICAL)
(949) 955-3100
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST, J104, COSTA MESA, CA 92626-5981
(949) 955-3100
Mailing address
2900 BRISTOL ST, J104, COSTA MESA, CA 92626-5981
(949) 955-3100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19911
CA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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