Organization
AGELESS PHYSICAL THERAPY PC
Active
Organization
AGELESS PHYSICAL THERAPY PC
Active
Other names
FOREVER YOUNG THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
NADER THEODORY PT (OWNER)
(714) 944-3289
Entity
Organization
Contact information
Practice address
1600 W COAST HWY STE G, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Mailing address
1600 W COAST HWY STE G, NEWPORT BEACH, CA 92663-5000
(949) 272-3325
(949) 333-2962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
08/18/2024
Update your record
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