Organization
NATURAL HEALTH SPORTS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ROCHE PTA (PTA)
(949) 645-4086
Entity
Organization
Contact information
Practice address
1784 NEWPORT BLVD, COSTA MESA, CA 92627-2756
(949) 645-4086
(949) 645-2014
Mailing address
1784 NEWPORT BLVD, COSTA MESA, CA 92627-2756
(949) 645-4086
(949) 645-2014
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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