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Organization
SOUTH COAST THERPY, INC
Active
Organization
SOUTH COAST THERPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUERN MILLER BEELER PT, PCS (OFFICER)
(949) 589-1405
Entity
Organization
Contact information
Practice address
28715 VISTA SANTIAGO RD, TRABUCO CANYON, CA 92679-1105
(949) 589-1405
Mailing address
28715 VISTA SANTIAGO RD, TRABUCO CANYON, CA 92679-1105
(949) 589-1405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CA#PT11759
CA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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