Provider Demographics
NPI:1215459540
Name:COURY & BUEHLER PHYSICAL THERAPY - TUSTIN/SANTA ANA, INC.
Entity type:Organization
Organization Name:COURY & BUEHLER PHYSICAL THERAPY - TUSTIN/SANTA ANA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:COURY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT,OCS,ATC,CSCS
Authorized Official - Phone:714-256-5074
Mailing Address - Street 1:1800 E LAMBERT RD STE 220
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4370
Mailing Address - Country:US
Mailing Address - Phone:714-988-8113
Mailing Address - Fax:714-988-8114
Practice Address - Street 1:13931 CARROLL WAY STE B
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-1861
Practice Address - Country:US
Practice Address - Phone:714-256-5074
Practice Address - Fax:714-256-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty