Organization
SHORE2SKY PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD STEPHEN BEAUCHAMP DPT (OWNER)
(714) 377-4311
Entity
Organization
Contact information
Practice address
5267 WARNER AVE # 195, HUNTINGTON BEACH, CA 92649-4079
(714) 377-4311
Mailing address
5267 WARNER AVE # 195, HUNTINGTON BEACH, CA 92649-4079
(714) 377-4311
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
38002
CA
2251X0800X
Orthopedic Physical Therapist
Primary
38002
CA
Other
Enumeration date
03/22/2016
Last updated
02/14/2017
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