Organization
CALIFORNIA ORTHOPEDIC & SPORTS THERAPY REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY C VAN DYKE P.T. (OWNER)
(831) 462-1212
Entity
Organization
Contact information
Practice address
6193 SOQUEL DR, APTOS, CA 95003-3116
(831) 462-1212
(831) 462-1221
Mailing address
6193 SOQUEL DR, APTOS, CA 95003-3116
(831) 462-1212
(831) 462-1221
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT13181
CA
Other
Enumeration date
05/17/2007
Last updated
08/19/2013
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