COSTA REHAB AND WELLNESS CLINIC NPI 1730588575

NPI Information

COSTA REHAB AND WELLNESS CLINIC is an orthopedic physical therapist in Lake Forest, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. COSTA REHAB AND WELLNESS CLINIC NPI is 1730588575. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

22821 LAKE FOREST DR
SUITE 115
LAKE FOREST, CA
ZIP 92630-606
Phone: (949) 716-5050
Fax: (949) 482-2122

The provider's authorized official is Cary Costa .
The authorized official title is Ceo and has the following contact phone number (971) 998-4484.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 4/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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