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Organization
LEVITATE PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
Organization
LEVITATE PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHALE WAYNE HAMLIN DPT, PT (OWNER, PHYSICAL THERAPIST)
(714) 202-7424
Entity
Organization
Contact information
Practice address
737 S STATE COLLEGE BLVD STE 90, FULLERTON, CA 92831-5128
(714) 202-7424
Mailing address
737 S STATE COLLEGE BLVD STE 90, FULLERTON, CA 92831-5128
(714) 202-7424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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