| NPI | 1659624930 |
|---|---|
| Doing Business As | COSTA MESA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS MORISOLI Physical Therapist 714-427-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 34431) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT28231) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2013-01-04 |