MEDICARE: DANA POINT PHYSICAL THERAPY AND REHABILITATION, INC.

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
1	225100000X	Physical Therapist	PT 22810	CA

General Provider Information

NPI Number	:	1861424194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANA POINT PHYSICAL THERAPY AND REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	34241 PACIFIC COAST HWY
Second Line	:	STE. 102
City	:	DANA POINT
State	:	CA
Zip	:	92629-3845
Country	:	US
Telephone Number	:	949-496-3896
Fax Number	:	949-487-0277

Provider Business Practice Location Address
First Line	:	34241 PACIFIC COAST HWY
Second Line	:	STE. 102
City	:	DANA POINT
State	:	CA
Zip	:	92629-3845
Country	:	US
Telephone Number	:	949-496-3896
Fax Number	:	949-487-0277

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORDAN JESSE TURNER
Credential	:	P.T.
Telephone Number	:	949-496-3896

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/22/2020

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