Organization
ENVISION SPORT PHYSICAL THERAPY & PILATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN YEE (SECRETARY)
(949) 713-6445
Entity
Organization
Contact information
Practice address
23121 ANTONIO PKWY, SUITE 100, RANCHO SANTA MARGARITA, CA 92688-2658
(949) 713-6445
(949) 713-6488
Mailing address
23121 ANTONIO PKWY, SUITE 100, RANCHO SANTA MARGARITA, CA 92688-2658
(949) 713-6445
(949) 713-6488
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
04/14/2015
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