# BODYWORKSPT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619360443
- **Authorized official:** MISS CHRISTINE DRAGOO BARANICK DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (714) 724-2575

## Contact information

- **Practice address:** 5122 CASA LOMA AVE, YORBA LINDA, CA 92886-3943
- **Practice address phone:** (714) 724-2575
- **Practice address fax:** (714) 993-9878
- **Mailing address:** 5122 CASA LOMA AVE, YORBA LINDA, CA 92886-3943
- **Mailing address phone:** (714) 724-2575
- **Mailing address fax:** (714) 993-9878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | W20234 | CA | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015