Organization
INDEPENDENCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK BRACKETT P.T. (OWNER/PRESIDENT)
(949) 350-0322
Entity
Organization
Contact information
Practice address
24572 MOSQUERO LN, MISSION VIEJO, CA 92691-4911
(949) 350-0322
(949) 597-0758
Mailing address
24572 MOSQUERO LN, MISSION VIEJO, CA 92691-4911
(949) 350-0322
(949) 597-0758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT24421
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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