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Contact Information

THERAPRO
410 CALLE MACHO
SAN CLEMENTE, CA92673
 Phone: 949-492-7933
 Fax: 949-492-8636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for THERAPRO

NPI # 1518919638
LBN Legal business name THERAPRO
Authorized official ERIC BAKER - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/17/2006
Last updated 10/20/2008 - About 18 years ago
Identifiers
CA License # AT5398
CA License # AT6605
CA License # OT722
CA License # PT11551
CA License # PT22644
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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