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Organization

ELITE PERFORMANCE PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK KOZUKI PT (OWNER)
(949) 467-9656
Entity
Organization

Contact information

Practice address
2900 BRISTOL ST, BUILDING G, SUITE 102, COSTA MESA, CA 92626-5981
(949) 467-9656
(949) 266-5629
Mailing address
2900 BRISTOL ST, BUILDING G, SUITE 102, COSTA MESA, CA 92626-5981
(949) 467-9656
(949) 266-5629

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
02/20/2013
Last updated
02/20/2013
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