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Organization

FOREVER YOUNG PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADER THEODORY (AUTHORIZED OFFICIAL)
(949) 272-3325
Entity
Organization

Contact information

Practice address
1600 W COAST HWY STE E, NEWPORT BEACH, CA 92663-5000
(714) 944-3289
(949) 333-2962
Mailing address
1600 W COAST HWY STE E, NEWPORT BEACH, CA 92663-5000
(714) 944-3289
(949) 333-2962

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
05/17/2019
Last updated
09/23/2022
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