# ADVANTAGE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1689716128
- **Authorized official:** MR. CHRIS MAROUN (CO-OWNER)
- **Authorized official phone:** (949) 584-6121

## Contact information

- **Practice address:** 24551 RAYMOND WAY STE 265, LAKE FOREST, CA 92630-4478
- **Practice address phone:** (949) 305-8200
- **Mailing address:** 22865 LOUMONT DR, LAKE FOREST, CA 92630-3936
- **Mailing address phone:** (949) 584-6121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT13853 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 06/13/2012