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Organization
RESTORATIVE THERAPY ASSOCIATES
Active
Organization
RESTORATIVE THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK DECICCO (PARTNER/PHYSICAL THERAPIST)
(714) 858-4617
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD STE 110, IRVINE, CA 92618-3192
(714) 858-4617
Mailing address
1154 MISSION DR, COSTA MESA, CA 92626-4209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33693
CA
Other
Enumeration date
02/08/2011
Last updated
02/26/2015
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