Organization
INTENT PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GORDON JEFFRIES DPT (OWNER)
(949) 433-8160
Entity
Organization
Contact information
Practice address
118 E AVENIDA SAN JUAN, SAN CLEMENTE, CA 92672-3231
(949) 433-8160
Mailing address
118 E AVENIDA SAN JUAN, SAN CLEMENTE, CA 92672-3231
(949) 433-8160
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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