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Organization

COMMUNITY PHYSICAL THERAPY AND PERFORMANCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEN MATSUNO DPT (CEO)
(206) 999-9153
Entity
Organization

Contact information

Practice address
2969 CENTURY PL, COSTA MESA, CA 92626-4323
(206) 999-9153
Mailing address
4139 E 11TH ST, LONG BEACH, CA 90804-4255

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
06/22/2024
Last updated
06/22/2024
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