Organization
BRISTOL PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA VAZQUEZ (CHIEF EXECUTIVE)
(714) 648-0335
Entity
Organization
Contact information
Practice address
2703 N BRISTOL STREET, SUITE H 1, SANTA ANA, CA 92706-1472
(714) 664-0411
(714) 664-0402
Mailing address
2703 N BRISTOL STREET, SUITE H 1, SANTA ANA, CA 92706-1472
(714) 664-0411
(714) 664-0402
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
188825
CA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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