Organization
PROACTIVE ORTHOPEDIC PHYSICAL THERAPY, INC
Active
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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