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Organization
ST. MARY'S REHAB CORP
Active
Organization
ST. MARY'S REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIANO OCAMPO III PHYSICAL THERAPIST (CFO)
(714) 626-9980
Entity
Organization
Contact information
Practice address
11037 ACACIA PKWY, GARDEN GROVE, CA 92840-5126
(714) 636-9980
(714) 721-3359
Mailing address
11037 ACACIA PKWY, GARDEN GROVE, CA 92840-5126
(714) 636-9980
(714) 721-3359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24314
CA
Other
Enumeration date
03/17/2009
Last updated
03/19/2009
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