INDEPENDENCE PHYSICAL THERAPY
Agencies at Mosquero Ln, San Juan Capistrano, CA

License number
California PT24421
Category
Agencies
Type
Home Health
Owner
Name: MR. MICHAEL PATRICK BRACKETT P.T.
Title: OWNER/PRESIDENT
Phone: (949) 350-0322
Address
Address
24572 Mosquero Ln, San Juan Capistrano, CA 92691
National Provider ID: 1184938078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INDEPENDENCE PHYSICAL THERAPY, INC

San Juan Capistrano, CA

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Mar 16, 2010
Addresses:
22352 Oro Blanco, Mission Viejo, CA 92691 (Physical)
24572 Mosquero Ln, San Juan Capistrano, CA 92691
State ID:
C3285734
Business type:
Articles of Incorporation
President:
Michael Brackett (President)

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