Organization
IMPACT PHYTHERAPY AND PERFORMANCE FNA KO GOLF PERFORMANCE & PT PC
Active
Other names
KO Golf Performance and Physical Therapy, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHN O'CONNOR DPT (OWNER)
(949) 378-9985
Entity
Organization
Contact information
Practice address
27601 FORBES RD STE 38, LAGUNA NIGUEL, CA 92677-1241
(949) 378-9985
Mailing address
27601 FORBES RD STE 38, LAGUNA NIGUEL, CA 92677-1241
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
04/29/2026
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