MEDICARE: ART PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	26575	CA

General Provider Information

NPI Number	:	1568662310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	18391 COLIMA RD STE 203
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	626-964-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	18391 COLIMA RD STE 203
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	626-964-3346
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SITIPON CHAVATIPON
Credential	:	MPT
Telephone Number	:	714-213-4955

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/24/2007

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Directions to “ART PHYSICAL THERAPY ” Practice Location

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