Organization
BLUE WATER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN RENEE MALECHA MPT (OWNER)
(714) 623-2035
Entity
Organization
Contact information
Practice address
2063 SAN ELIJO AVE, CARDIFF, CA 92007-1726
(714) 623-2035
Mailing address
2063 SAN ELIJO AVE, CARDIFF, CA 92007-1726
(714) 623-2035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30454
CA
Other
Enumeration date
05/19/2009
Last updated
01/28/2015
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