Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Other names
ProSport Physical Therapy MVSJC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL (PRESIDENT)
(209) 353-1988
Entity
Organization
Contact information
Practice address
26932 OSO PKWY, SUITE 260, MISSION VIEJO, CA 92691-5815
(949) 582-8800
(949) 582-5127
Mailing address
PO BOX 14155, ORANGE, CA 92863-1555
(714) 450-4999
(714) 974-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
12/06/2023
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