# ALISO PHYSICAL THERAPY & SPORTS MEDICINE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aliso Viejo Physical Therapy and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770511859
- **Authorized official:** MS. MICHELLE ANN WEINANDY MPT (OWNER, CEO)
- **Authorized official phone:** (949) 448-0872

## Contact information

- **Practice address:** 27432 ALISO CREEK RD, FIRST FLOOR SUITE 100, ALISO VIEJO, CA 92656-5337
- **Practice address phone:** (949) 448-0872
- **Practice address fax:** (949) 448-0984
- **Mailing address:** 27432 ALISO CREEK RD, FIRST FLOOR SUITE 100, ALISO VIEJO, CA 92656-5337
- **Mailing address phone:** (949) 448-0872
- **Mailing address fax:** (949) 448-0984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT19704 | CA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 08/12/2013