Organization
GOLD COAST PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE JEAN FITZPATRICK DPT (PRESIDENT)
(949) 673-1662
Entity
Organization
Contact information
Practice address
3111 VILLA WAY, NEWPORT BEACH, CA 92663-3823
(949) 673-1662
(949) 673-1667
Mailing address
3111 VILLA WAY, NEWPORT BEACH, CA 92663-3823
(949) 673-1662
(949) 673-1667
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
33412
CA
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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