Pack Physical Therapy

NPI #1750537585 in Dana Point, California

Provider Information

NPI Number: 1750537585
Entity Type: Organization
Organization Name: Pack Physical Therapy
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Aug 12, 2008
Last Updated: Oct 27, 2008

Practice Location

Address: 24582 DEL PRADO STE E
City: Dana Point
State: California
ZIP Code: 92629-3820
Phone: (949) 443-0713

Authorized Official

Name: BRODIE JAMES PACK
Title: OWNER
Phone: (949) 443-0713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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