Organization · Type 2 NPI

Costa Rehab and Wellness Clinic

Orthopedic Physical Therapist · Lake Forest, CA

NPI number 1730588575 Active

Practice location

22821 Lake Forest Dr, Suite 115
Lake Forest, CA 92630-1606

Fax (949) 482-2122

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT37671 (CA)
Cardiopulmonary Physical Therapist 2251C2600XPT37671 (CA)
Ergonomics Physical Therapist 2251E1200XPT37671 (CA)
Geriatric Physical Therapist 2251G0304XPT37671 (CA)
Hand Physical Therapist 2251H1200XPT37671 (CA)
Neurology Physical Therapist 2251N0400XPT37671 (CA)
Pediatric Physical Therapist 2251P0200XPT37671 (CA)
Sports Physical Therapist 2251S0007XPT37671 (CA)
Orthopedic Physical Therapist Primary 2251X0800XPT37671 (CA)

Orthopedic Physical Therapist: 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 prac…

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About NPI 1730588575

Costa Rehab and Wellness Clinic's National Provider Identifier is 1730588575, issued on Aug 18, 2014. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Lake Forest, CA. The record was last updated on Apr 14, 2016.