Organization
SHADOW MANAGEMENT SERVICES, INC.
Active
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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