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Organization
SPORTS MEDICINE INSTITUTE SOUTH ORANGE COUNTY
Active
Organization
SPORTS MEDICINE INSTITUTE SOUTH ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN BOESEL PT (OWNER)
(714) 939-6200
Entity
Organization
Contact information
Practice address
27184 ORTEGA HWY, STE 210, SAN JUAN CAPISTRANO, CA 92675-5705
(949) 493-1985
(949) 493-4295
Mailing address
1070 N BATAVIA ST, #537, ORANGE, CA 92867-5598
(949) 493-1985
(949) 493-4295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/14/2005
Last updated
02/19/2008
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