Organization
TOTAL MOTION SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE GILBERT PTA, LMT (OWNER)
(714) 369-9328
Entity
Organization
Contact information
Practice address
808 ADAMS AVE, HUNTINGTON BEACH, CA 92648-3616
(714) 369-9328
Mailing address
8941 ATLANTA AVE, 355, HUNTINGTON BEACH, CA 92646-5746
(714) 369-9328
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
08/17/2016
Last updated
12/15/2017
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