Healthcare Provider Details

I. General information

NPI: 1801078225
Provider Name (Legal Business Name): SPECTRUM PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 E CHAPMAN AVE
ORANGE CA
92866-1621
US

IV. Provider business mailing address

732 E CHAPMAN AVE
ORANGE CA
92866-1621
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-8535
  • Fax: 714-633-2684
Mailing address:
  • Phone: 714-633-8535
  • Fax: 714-633-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT10534
License Number StateCA

VIII. Authorized Official

Name: MS. REBECCA L ZERBST
Title or Position: PRES/CEO
Credential: PT
Phone: 714-633-8535