Primitive Therapy Physical Therapy INC
NPI #1083846976 in Lake Forest, California
Provider Information
- NPI Number
- 1083846976
- Entity Type
- Organization
- Organization Name
- Primitive Therapy Physical Therapy INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 11, 2009
- Last Updated
- Dec 7, 2009
Practice Location
- Address
- 22691 LAMBERT ST STE 520
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1614
- Phone
- (949) 310-4276
Authorized Official
- Name
- DR. JACOB MATTHEW CALDWELL, DPT
- Title
- OWNER
- Phone
- (949) 310-4276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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