in Deer Park - Physical Therapist

- NPI 1245380229

is a Physical Therapist in Deer Park, California. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for is 1245380229. The last update date is .

's current location address is Po Box 338, Deer Park, California. You can contact this provider via phone number 7079687288. The mailing address for is Po Box 338, Deer Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 338, Deer Park, California
Phone Number 7079687288
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1245380229
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 338
City Deer Park
State California (CA)
Post Code 945760338
Phone Number 7079687288
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT000074
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT 21838 CA CALIFORNIA PHYSICAL THERAPIST
PT000074 GU GUAM LICENSE

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