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NPI Code Detail

MEDICARE: CATCH A WAVE PHYSICAL THERAPY

MEDICARE: CATCH A WAVE PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist36685CA

General Provider Information

NPI Number : 1679082085
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATCH A WAVE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 647 CAMINO DE LOS MARES STE 111
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-2806
Country : US
Telephone Number : 949-240-0600
Fax Number : 949-240-7578
Provider Business Practice Location Address
First Line : 647 CAMINO DE LOS MARES STE 111
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-2806
Country : US
Telephone Number : 949-240-0600
Fax Number : 949-240-7578
Authorized Official
Title or Position : PRESIDENT
Name : HOLLY K FINLEY
Credential : PT
Telephone Number : 949-240-0600
Provider Enumeration Date : 09/28/2017
Last Update Date : 07/21/2022

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Directions to “CATCH A WAVE PHYSICAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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