Healthcare Provider Details

I. General information

NPI: 1851026835
Provider Name (Legal Business Name): COURY & BUEHLER PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 07/22/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10061 TALBERT AVE STE 100
FOUNTAIN VALLEY CA
92708-5159
US

IV. Provider business mailing address

10061 TALBERT AVE STE 100
FOUNTAIN VALLEY CA
92708-5159
US

V. Phone/Fax

Practice location:
  • Phone: 714-632-2822
  • Fax: 714-660-2231
Mailing address:
  • Phone: 714-632-2822
  • Fax: 714-660-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LETITIA MAE SAMONTE
Title or Position: VP OF FINANCE
Credential:
Phone: 714-988-8113