Organization
DEFINE WELLNESS AND PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN COREY HANCOCK PT, DPT (CEO)
(949) 298-5403
Entity
Organization
Contact information
Practice address
31896 PLAZA DR STE E3, SAN JUAN CAPISTRANO, CA 92675-3724
(949) 312-2485
(949) 312-2856
Mailing address
31878 DEL OBISPO ST STE 118-426, SAN JUAN CAPISTRANO, CA 92675-3223
(949) 312-2485
(949) 312-2856
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/10/2020
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