Organization
ANTIOCH PHYSICAL THERAPY AND SPORTS INJURY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY COUCH (OWNER/MANAGER)
(925) 754-6262
Entity
Organization
Contact information
Practice address
4041 LONE TREE WAY STE 106, ANTIOCH, CA 94531-6208
(925) 754-6262
(925) 754-2198
Mailing address
4041 LONE TREE WAY STE 106, ANTIOCH, CA 94531-6208
(925) 754-6262
(925) 754-2198
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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