Organization
REPAIR PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD STEPHEN BEAUCHAMP DPT (DOCTOR OF PHYSICAL THERAPY/ OWNER)
(310) 721-1082
Entity
Organization
Contact information
Practice address
16561 BOLSA CHICA ST STE 107, HUNTINGTON BEACH, CA 92649-3574
(714) 377-4313
(714) 377-4313
Mailing address
16561 BOLSA CHICA ST STE 107, HUNTINGTON BEACH, CA 92649-3574
(714) 377-4313
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
PT 38002
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT 38002
CA
Other
Enumeration date
06/05/2015
Last updated
03/23/2017
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