Organization
GRACE PHYSICAL THERAPY, INC.
Active
Other names
Laguna Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R THOMAS PT (PRESIDENT)
(949) 443-5442
Entity
Organization
Contact information
Practice address
31341 NIGUEL RD STE G, LAGUNA NIGUEL, CA 92677-4118
(949) 443-5442
Mailing address
PO BOX 7840, LAGUNA NIGUEL, CA 92607-7840
(949) 443-5442
(949) 443-5463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT17906
CA
Other
Enumeration date
07/27/2006
Last updated
02/06/2020
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