Canyon Lake Physical Therapy, Inc in Canyon Lake - Physical Therapist

Canyon Lake Physical Therapy, Inc - NPI 1053490557

Canyon Lake Physical Therapy, Inc is a Physical Therapist in Canyon Lake, California. Canyon Lake Physical Therapy, Inc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Canyon Lake Physical Therapy, Inc is 1053490557. The last update date is 2020-08-22.

Canyon Lake Physical Therapy, Inc's current location address is 31700 Railroad Canyon Rd, Canyon Lake, California. You can contact this provider via phone number 9512462670 and fax number 9512462672. The mailing address for Canyon Lake Physical Therapy, Inc is 31700 Railroad Canyon Rd, Canyon Lake, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Canyon Lake Physical Therapy, Inc
Address 31700 Railroad Canyon Rd, Canyon Lake, California
Phone Number 9512462670
Fax Number 9512462672
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICAL T
Authorized Official Name Stacy Jean Barbara
Credentials PT, M.O.M.
Telephone Number 9512462670

NPI Number Detail

NPI Number 1053490557
Provider Enumeration Date 2006-11-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 31700 Railroad Canyon Rd
City Canyon Lake
State California (CA)
Post Code 925879453
Phone Number 9512462670
Fax Number 9512462672

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT 9115
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Canyon Lake Physical Therapy, Inc

What is the unique identifier code issued to Canyon Lake Physical Therapy, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Canyon Lake Physical Therapy, Inc has been assigned the NPI (National Provider Identifier) 1053490557. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Canyon Lake Physical Therapy, Inc is located?

The Canyon Lake Physical Therapy, Inc is situated at the following address: 31700 Railroad Canyon Rd, Canyon Lake, CA, 925879453.

What is the area of specialization for Canyon Lake Physical Therapy, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Canyon Lake Physical Therapy, Inc is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053490557 to Canyon Lake Physical Therapy, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1053490557 to Canyon Lake Physical Therapy, Inc on 2006-11-03.

When was the information pertaining to Canyon Lake Physical Therapy, Inc most recently updated or revised?

The details related to Canyon Lake Physical Therapy, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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