Genesis Sports Performance INC

NPI #1679126320 in Lake Forest, California

Provider Information

NPI Number
1679126320
Entity Type
Organization
Organization Name
Genesis Sports Performance INC
Primary Specialty
Physical Therapist
Enumeration Date
Jul 22, 2019
Last Updated
Jul 22, 2019

Practice Location

Address
22600 LAMBERT ST STE 1204F
ZIP Code
92630-1623
Phone
(949) 838-6686

Authorized Official

Name
LISA CAMPBELL, PT
Title
OWNER/PHYSICAL THERAPIST
Phone
(949) 838-6686

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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