Organization
DANCEPREHAB PHYSICAL THERAPY, P.C.
Active
Other names
PHYSical Therapy - OC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL SANTAYANA PT, DPT (COO)
(909) 542-8388
Entity
Organization
Contact information
Practice address
74 ICON, LAKE FOREST, CA 92610-3000
(909) 542-8388
Mailing address
100 SPECTRUM CENTER DR STE 900-256, IRVINE, CA 92618-4962
(949) 800-8471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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