Organization
PROACTIVE ORTHOPEDIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON THOMAS ANDREWS PTA, ATC (OWNER)
(714) 921-9080
Entity
Organization
Contact information
Practice address
1607 E LINCOLN AVE STE B, ORANGE, CA 92865-1958
(714) 921-9080
(714) 921-9336
Mailing address
1607 E LINCOLN AVE STE B, ORANGE, CA 92865-1958
(714) 921-9080
(714) 921-9336
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
W16655
CA
Other
Enumeration date
06/04/2007
Last updated
05/21/2015
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