Organization
AQUATIC REHAB AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN THORSON P.T. (OWNER/PHYSICAL THERAPIST)
(949) 216-9300
Entity
Organization
Contact information
Practice address
18 SUNNYDALE LN, RANCHO SANTA MARGARITA, CA 92688-5569
(949) 216-9300
(949) 216-9301
Mailing address
18 SUNNYDALE LN, RANCHO SANTA MARGARITA, CA 92688-5569
(949) 216-9300
(949) 216-9301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14945
CA
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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