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Organization

CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER

Active
Other names
California Rehab and Sports Therapy, California Rehabilitation & Sports Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization

Contact information

Practice address
2101 E 4TH ST, #170, SANTA ANA, CA 92705-3814
(714) 558-3977
(714) 558-0308
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 050-0010
(949) 644-0316

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ37157Z
BLUE SHIELD
CA
Enumeration date
05/15/2006
Last updated
02/12/2024
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