Organization
CJ PHYSIOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KYONG CHO RPT (CEO)
(714) 832-6780
Entity
Organization
Contact information
Practice address
1051 BRYAN AVE, SUITE 200, TUSTIN, CA 92780-4419
(714) 832-6780
Mailing address
1051 BRYAN AVE, SUITE 200, TUSTIN, CA 92780-4419
(714) 832-6780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26577
CA
225100000X
Physical Therapist
32102
CA
225X00000X
Occupational Therapist
5641
CA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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