Organization
THERAPRO
Active
Parent organization
ETECH MILLENNIUM INC
Other names
Therapro
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETECH MILLENNIUM INC
Authorized official
ERIC ALAN BAKER (PRESIDENT)
(949) 492-7933
Entity
Organization
Contact information
Practice address
410 CALLE MACHO, SAN CLEMENTE, CA 92673
(949) 492-7933
(949) 492-8636
Mailing address
410 CALLE MACHO, SAN CLEMENTE, CA 92673
(949) 492-7933
(949) 492-8636
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
PT11551
CA
2251G0304X
Geriatric Physical Therapist
Primary
PT22644
CA
225200000X
Physical Therapy Assistant
AT5398
CA
225200000X
Physical Therapy Assistant
AT6605
CA
225X00000X
Occupational Therapist
OT722
CA
Other
Enumeration date
05/17/2006
Last updated
10/20/2008
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