Organization
ANTIOCH PHYSICAL THERAPY AND SPORTS INJURY CENTER INC.
Active
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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