Organization Name: | SAN CLEMENTE PHYSICAL THERAPY INC |
NPI Number: | 1134237985 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID W REENDERS (CO OWNER PT) |
Mailing Address: | 647 Camino De Los Mares Suite 111 San Clemente |
State: | CA US |
Postal Code: | 926732806 |
Phone Number: | 9492400600 |
Fax Number: | 9492407578 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 7668 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |