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Organization
RX PERSONAL TRAINING INC.
Active
Organization
RX PERSONAL TRAINING INC.
Active
Other names
Coastherapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACY M BEVINGTON (CONTRACT MANAGER)
(714) 963-7712
Entity
Organization
Contact information
Practice address
21501 BROOKHURST ST, HUNTINGTON BEACH, CA 92646-8080
(714) 963-7712
(714) 965-0682
Mailing address
21501 BROOKHURST ST, HUNTINGTON BEACH, CA 92646-8080
(714) 963-7712
(714) 965-0682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ47878Z
BLUE SHIELD
CA
Enumeration date
06/17/2006
Last updated
08/22/2020
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