Organization
EASTBLUFF PHYSICAL REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DOROTHY IRENE LUCCHESI (VICE PRESIDENT)
(949) 760-9545
Entity
Organization
Contact information
Practice address
2600 EAST PACIFIC COAST HIGHWAY, SUITE 240, CORONA DEL MAR, CA 92625
(949) 760-9545
(714) 968-4220
Mailing address
301 VISTA SUERTE, NEWPORT BEACH, CA 92660-3516
(949) 760-9545
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
—
CA
2251H1200X
Hand Physical Therapist
—
CA
2251S0007X
Sports Physical Therapist
—
CA
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
03/30/2007
Last updated
07/21/2022
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