# MESISCA PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1821104472
- **Authorized official:** MR. DENNIS JOHN MESISCA PT (PRESIDENT OWNER)
- **Authorized official phone:** (714) 281-0169

## Contact information

- **Practice address:** 30025 ALICIA PKWY STE G-262, LAGUNA NIGUEL, CA 92677-2090
- **Practice address phone:** (714) 281-0169
- **Practice address fax:** (714) 281-2238
- **Mailing address:** PO BOX 7379, LAGUNA NIGUEL, CA 92607-7379
- **Mailing address phone:** (714) 281-0169
- **Mailing address fax:** (714) 281-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | PT16808 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/29/2012