PRIMITIVE THERAPY PHYSICAL THERAPY INC

LAKE FOREST, CA
NPI1083846976
Entity TypeOrganization
Authorized ContactJACOB MATTHEW CALDWELL
Owner
949-310-4276
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2009-08-11
Last Update Date2009-12-07
Business Address
PRIMITIVE THERAPY PHYSICAL THERAPY INC
22691 LAMBERT ST STE 520
LAKE FOREST, CA 92630-1614
Phone number: 949-310-4276
Mailing Address
PRIMITIVE THERAPY PHYSICAL THERAPY INC
22691 LAMBERT ST #520
LAKE FOREST, CA 92630-1614
Phone number: 949-310-4276
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