Organization
SHADOW MANAGEMENT SERVICES, INC.
Active
Other names
MVP Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB AUBREY VONDUERING (PRESIDENT)
(949) 855-0100
Entity
Organization
Contact information
Practice address
45 PARKER STE C, IRVINE, CA 92618-1656
(949) 855-0100
(949) 855-0134
Mailing address
45 PARKER STE C, IRVINE, CA 92618-1656
(949) 855-0100
(949) 855-0134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/15/2007
Last updated
09/11/2025
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