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Organization
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Active
Organization
GOODWILL INDUSTRIES OF ORANGE COUNTY, CALIFORNIA
Active
Other names
Goodwill Fitness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY COPELAND PHD. (VP OF HUMAN SERVICES)
(714) 547-6308
Entity
Organization
Contact information
Practice address
1601 E SAINT ANDREW PL, SANTA ANA, CA 92705-4932
(714) 361-6180
(714) 361-6190
Mailing address
410 N FAIRVIEW ST, SANTA ANA, CA 92703-3412
(714) 547-6308
(714) 541-6531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26200
CA
Other
Enumeration date
05/22/2009
Last updated
03/29/2017
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