Organization
HOMESTRETCH P.T.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH SHANNON GOMEZ (OWNER)
(949) 338-0427
Entity
Organization
Contact information
Practice address
27525 PUERTA REAL, STE 100-224, MISSION VIEJO, CA 92691-6379
(949) 338-0427
(949) 454-0031
Mailing address
27525 PUERTA REAL, STE 100-224, MISSION VIEJO, CA 92691-6379
(949) 338-0427
(949) 454-0031
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT26517
CA
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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