Organization
TOTAL MOTION SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE GILBERT PTA (DIRECTOR)
(714) 369-9328
Entity
Organization
Contact information
Practice address
808 ADAMS AVE, HUNTINGTON BEACH, CA 92648-3214
(714) 369-9328
Mailing address
8941 ATLANTA AVE # 355, HUNTINGTON BEACH, CA 92646-7121
(714) 369-9328
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881643690
—
CA
Enumeration date
12/31/2019
Last updated
12/31/2019
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