Prime Physical Therapy Corp
NPI #1497198410 in Garden Grove, California
Provider Information
- NPI Number
- 1497198410
- Entity Type
- Organization
- Organization Name
- Prime Physical Therapy Corp
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 9, 2013
- Last Updated
- Apr 9, 2013
Practice Location
- Address
- 12832 GARDEN GROVE BLVD
- Address 2
- STE B
- City
- Garden Grove
- State
- California
- ZIP Code
- 92843-2002
- Phone
- (714) 620-8980
Authorized Official
- Name
- MICHAEL D MAGA, MPT
- Title
- OWNER
- Phone
- (714) 620-8980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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