Organization
BEACH FAMILY PHYSICAL THERAPY
Active
Other names
Beach Family Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY MCCORMICK NMT (CFO)
(714) 580-2778
Entity
Organization
Contact information
Practice address
17610 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6855
(714) 580-2778
Mailing address
4132 DELPHI CIR, HUNTINGTON BEACH, CA 92649-2176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4551
CA
261QH0100X
Health Service Clinic/Center
4551
CA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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