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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENESIS SPORTS PERFORMANCE INC

Active Organization

GENESIS SPORTS PERFORMANCE INC is a Physical Therapy Assistant organization located in LAKE FOREST, California. NPI 1679126320 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE FOREST, CA

Registration Details

NPI Number
1679126320
Provider Type
Organization
NPI Issued
Jul 22, 2019 (7.0783728671602 yrs)
Last Updated
Jul 22, 2019

Practice Information

Address
22600 LAMBERT ST STE 1204F
LAKE FOREST, CA, 926301623
Browse CA providers · Browse ZIP 92630
Phone
9498386686
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.