| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1003867193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA L. GOLDBERG (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 2777 Bristol St Suite C Costa Mesa |
| State: | CA US |
| Postal Code: | 926265997 |
| Phone Number: | 7146681600 |
| Fax Number: | 7146681617 |
| NPI Enumeration Date: | 05/13/2006 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |