Organization
EAGLE PHYSICAL THERAPY OF HUNTINGTON BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH R. STROTHER PT (PHYSICAL THERAPIST)
(714) 536-9700
Entity
Organization
Contact information
Practice address
19891 BEACH BLVD, SUITE 105, HUNTINGTON BEACH, CA 92648-3209
(714) 536-9700
(714) 536-9701
Mailing address
19891 BEACH BLVD, SUITE 105, HUNTINGTON BEACH, CA 92648-3209
(714) 536-9700
(714) 536-9701
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
13554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT13554
LEGACY PIN
CA
Enumeration date
07/18/2006
Last updated
11/05/2007
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