Individual
JACOB LUTHER HALMRAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2777 BRISTOL ST, COSTA MESA, CA 92626-5997
(949) 250-1112
Mailing address
2777 BRISTOL ST, COSTA MESA, CA 92626-5997
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
306578
CA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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