Provider Demographics
NPI:1154051126
Name:COURY & BUEHLER PHYSICAL THERAPY - FOUNTAIN VALLEY, INC.
Entity Type:Organization
Organization Name:COURY & BUEHLER PHYSICAL THERAPY - FOUNTAIN VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LETITIA MAE
Authorized Official - Middle Name:O
Authorized Official - Last Name:SAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-988-8113
Mailing Address - Street 1:10061 TALBERT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5159
Mailing Address - Country:US
Mailing Address - Phone:714-632-2822
Mailing Address - Fax:714-256-5074
Practice Address - Street 1:10061 TALBERT AVE STE 100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5159
Practice Address - Country:US
Practice Address - Phone:714-632-2822
Practice Address - Fax:714-256-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty