Organization
GOOD SHEPHERD REHABILITATION AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHENOUDA BAHGAT SALIB RPT (PHYSICAL THERAPIST / PRESIDENT)
(714) 269-7986
Entity
Organization
Contact information
Practice address
6091 THOR DR, HUNTINGTON BEACH, CA 92647-2400
(714) 269-7986
(714) 799-4322
Mailing address
6091 THOR DR, HUNTINGTON BEACH, CA 92647-2400
(714) 269-7986
(714) 799-4322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/16/2006
Last updated
07/09/2009
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