Organization
POWER PHYSICAL THERAPY AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C NOWLIN DPT (PRESIDENT)
(714) 222-5922
Entity
Organization
Contact information
Practice address
3140 RED HILL AVE STE 225, COSTA MESA, CA 92626-3440
(714) 222-5922
Mailing address
2973 HARBOR BLVD # 339, COSTA MESA, CA 92626-3912
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 23889
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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