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Organization
PACIFIC COAST PHYSICAL THERAPY
Active
Organization
PACIFIC COAST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THOMAS ANDREW HENDRICKX MPT,OCS,CSCS (OWNER)
(949) 475-5777
Entity
Organization
Contact information
Practice address
3900 BIRCH ST STE 104, NEWPORT BEACH, CA 92660-2202
(949) 475-5777
(949) 475-5779
Mailing address
3900 BIRCH ST STE 104, NEWPORT BEACH, CA 92660-2202
(949) 475-5777
(949) 475-5779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20058
CA
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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