Organization
GOLD COAST PHYSICAL THERAPY INC
Active
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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