Organization
KINETIX PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DAVID WALTMAN DPT (OWNER)
(949) 345-1696
Entity
Organization
Contact information
Practice address
22600 LAMBERT ST STE 1202F, LAKE FOREST, CA 92630-1623
(949) 345-1696
Mailing address
22600 LAMBERT ST STE 1202F, LAKE FOREST, CA 92630-1623
(949) 345-1696
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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