Organization
PTRD, INC.
Active
Other names
Premiere Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SIEU LE MPT (PHYSICAL THERAPIST)
(415) 367-5323
Entity
Organization
Contact information
Practice address
23422 MILL CREEK DR, # 220, LAGUNA HILLS, CA 92653-1688
(949) 900-1300
(949) 900-1318
Mailing address
151 KINGS CYN, IRVINE, CA 92606-1913
(949) 559-5362
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25344
CA
Other
Enumeration date
01/20/2009
Last updated
04/21/2009
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