Organization
ACE PHYSICAL THERAPY & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN P YNIGUEZ P.T. (PRESIDENT)
(714) 590-0100
Entity
Organization
Contact information
Practice address
9535 GARDEN GROVE BLVD, 104, GARDEN GROVE, CA 92844-1550
(714) 590-0100
(714) 590-0089
Mailing address
9535 GARDEN GROVE BLVD, 104, GARDEN GROVE, CA 92844-1550
(714) 590-0100
(714) 590-0089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26361
CA
225X00000X
Occupational Therapist
OT12242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT26361
CALIFORNIA LICENSE
CA
Enumeration date
08/07/2012
Last updated
08/07/2012
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