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Organization
REHABPT
Active
Organization
REHABPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE TIMOTHY EVERWINE PT, DPT (PHYSICAL THERAPIST)
(559) 269-2561
Entity
Organization
Contact information
Practice address
1810 NEWPORT BLVD, COSTA MESA, CA 92627-2766
(559) 269-2561
Mailing address
883 CONGRESS ST, COSTA MESA, CA 92627-3337
(559) 269-2561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
02/09/2023
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