Organization
FYZIOGYM PHYSICAL THERAPY OF CALIFORNIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNEIL MITCHELL PT (OWNER)
(814) 881-4717
Entity
Organization
Contact information
Practice address
16331 GOTHARD ST, HUNTINGTON BEACH, CA 92647-3664
(714) 690-0385
Mailing address
711 PACIFIC COAST HWY UNIT 323, HUNTINGTON BEACH, CA 92648-5053
(814) 881-4717
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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