| Sang Kwak Physical Therapy, Inc. | |
|
12665 Garden Grove Blvd, Suite 707, Garden Grove, CA 92843-1921 | |
| (714) 537-1234 | |
| (714) 537-3256 |
| Full Name | Sang Kwak Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12665 Garden Grove Blvd, Garden Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003924697 | NPI | - | NPPES |
| 3332040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30257 (California) | Primary |
| Provider Name | Sang Chae Kwak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538166525 PECOS PAC ID: 3476597667 Enrollment ID: I20050617000974 |
| Mailing Address | Practice Location Address |
|---|---|
| Sang Kwak Physical Therapy, Inc. 12665 Garden Grove Blvd, Suite 707, Garden Grove, CA 92843-1921 Ph: (714) 537-1234 | Sang Kwak Physical Therapy, Inc. 12665 Garden Grove Blvd, Suite 707, Garden Grove, CA 92843-1921 Ph: (714) 537-1234 |
Dr. Nicole Grace Marquez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13341 Garden Grove Blvd, #b, Garden Grove, CA 92843 Phone: 714-750-4097 | |
Fredric Art Quintos Sayao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9764 Garden Grove Blvd, Garden Grove, CA 92844 Phone: 714-590-0100 Fax: 714-590-0089 | |
Mrs. Teresa Lynn England, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12465 Lewis St, Suite 101, Garden Grove, CA 92840 Phone: 714-703-8477 Fax: 714-703-8157 | |
Lisa L Fulton, PT,PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6202 Cerulean Ave, Garden Grove, CA 92845 Phone: 714-347-0300 | |
The Hallway Group, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12881 Knott St, Suite 103, Garden Grove, CA 92841 Phone: 714-898-9720 Fax: 714-898-9720 | |
Comfort Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13155 Brookhurst St, Garden Grove, CA 92843 Phone: 714-742-3917 Fax: 714-537-4575 |