Intent Performance Physical Therapy
NPI #1902438898 in San Clemente, California
Provider Information
- NPI Number
- 1902438898
- Entity Type
- Organization
- Organization Name
- Intent Performance Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Feb 7, 2020
- Last Updated
- Feb 7, 2020
Practice Location
- Address
- 118 E AVENIDA SAN JUAN
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-3231
- Phone
- (949) 433-8160
Authorized Official
- Name
- DR. NATHAN GORDON JEFFRIES, DPT
- Title
- OWNER
- Phone
- (949) 433-8160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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