Organization
COALITION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LEE HALLARCES DPT (OWNER/PHYSICAL THERAPIST)
(408) 781-2511
Entity
Organization
Contact information
Practice address
121 E 18TH ST, COSTA MESA, CA 92627-3034
(408) 781-2511
Mailing address
121 E 18TH ST, COSTA MESA, CA 92627-3034
(408) 781-2511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 39125
CA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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