Organization
MIND BODY PHYSICAL THERAPY PC
Active
Other names
Mind Body Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CHANDRA FROHLICH (OWNER)
(909) 362-1196
Entity
Organization
Contact information
Practice address
212 ELKS POINT RD UNIT 332, ZEPHYR COVE, NV 89448-8016
(530) 541-7133
(530) 725-4500
Mailing address
PO BOX 10785, ZEPHYR COVE, NV 89448-2785
(530) 541-7133
(530) 725-4500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14128397
CAQH
—
Enumeration date
01/29/2021
Last updated
04/10/2024
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