Organization
KINETIX PERFORMANCE PHYSICAL THERAPY, INC.
Active
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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