| NPI | 1346706025 |
|---|---|
| Former Legal Business Name | KO GOLF PERFORMANCE AND PHYSICAL THERAPY, P.C. |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN O'CONNOR Owner Physical Therapist 949-378-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2020-06-12 |