BRODIE JAMES PACK PT

Dr BRODIE JAMES PACK PT is a male medical professional, specializing in Physical Therapy. He graduated in 2000.

Contact

24582 DEL PRADO
SUITE C
DANA POINT
CA
926293820

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BRODIE JAMES PACK PT Information

Npi 1871578203
Pac Id 0244126613
Professional Enrollment Id I20040223001311
Last Name PACK
First Name BRODIE
Middle Name JAMES
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 24582 DEL PRADO
Line 2 Street Address SUITE C
Marker Of Address Line 2 Suppression
City DANA POINT
State CA
Zip Code 926293820
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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