Organization
CG PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHELSEA L GUTMANN PT, DPT (OWNER/PHYSICAL THERAPIST)
(949) 690-0601
Entity
Organization
Contact information
Practice address
833 DOVER DR STE 1, NEWPORT BEACH, CA 92663-5992
(949) 690-0601
Mailing address
833 DOVER DR STE 1, NEWPORT BEACH, CA 92663-5992
(949) 690-0601
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
36244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215265541
NPI
CA
Enumeration date
06/21/2011
Last updated
06/21/2011
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