Organization
MOVEMENT IQ PHYSICAL THERAPY, INC
Active
Organization
MOVEMENT IQ PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KO DPT (PHYSICAL THERAPIST/OWNER)
(714) 853-9252
Entity
Organization
Contact information
Practice address
401 S RICHMAN AVE, FULLERTON, CA 92832-2113
(714) 853-9252
Mailing address
401 S RICHMAN AVE, FULLERTON, CA 92832-2113
(714) 853-9252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
33846
CA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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