Organization
BODYWORKSPT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE DRAGOO BARANICK DPT (PHYSICAL THERAPIST)
(714) 724-2575
Entity
Organization
Contact information
Practice address
5122 CASA LOMA AVE, YORBA LINDA, CA 92886-3943
(714) 724-2575
(714) 993-9878
Mailing address
5122 CASA LOMA AVE, YORBA LINDA, CA 92886-3943
(714) 724-2575
(714) 993-9878
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
W20234
CA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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