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Organization

ADAPT 2 IT

Active
Other names
n/a
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LESLIE ANN GIBOLA OTR/L (OWNER)
(949) 457-1600
Entity
Organization

Contact information

Practice address
24102 EL TORO RD, SUITE E, LAGUNA WOODS, CA 92637-3123
(949) 457-1600
(949) 457-1614
Mailing address
24102 EL TORO RD, SUITE E, LAGUNA WOODS, CA 92637-3123
(949) 457-1600
(949) 457-1614

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
103801
CA

Other

Enumeration date
08/09/2005
Last updated
06/19/2012
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