| NPI | 1225244130 |
|---|---|
| Doing Business As | ORANGE COAST PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LUCILLE LOPEZ WAGNER President 714-841-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT6997) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-08-29 |