Prosport Physical Therapy Professionals INC

NPI #1649223694 in Costa Mesa, California

Provider Information

NPI Number: 1649223694
Entity Type: Organization
Organization Name: Prosport Physical Therapy Professionals INC
Primary Specialty: Specialist
Enumeration Date: May 19, 2006
Last Updated: Dec 6, 2023

Practice Location

Address: 2777 BRISTOL ST
Address 2: STE B
City: Costa Mesa
State: California
ZIP Code: 92626-5997
Phone: (949) 250-1112

Authorized Official

Name: BOBBY ISMAIL, DPT
Title: PRESIDENT
Phone: (209) 353-1988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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