Organization
MOVEMENT LAB PHYSICAL THERAPY, INC
Active
Organization
MOVEMENT LAB PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNIHIKO HOSAKA PT (PRESIDENT)
(512) 644-4972
Entity
Organization
Contact information
Practice address
16033 BOLSA CHICA ST STE 101, HUNTINGTON BEACH, CA 92649-2452
(512) 644-4972
Mailing address
14271 JEFFREY RD # 375, IRVINE, CA 92620-3405
(512) 644-4972
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578711271
OUT OF NETWORK PROVIDER
TX
Enumeration date
07/19/2019
Last updated
07/19/2019
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