Healthcare Provider Details

I. General information

NPI: 1982996377
Provider Name (Legal Business Name): UNIFIED PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 E ANAHEIM ST
LONG BEACH CA
90804-4005
US

IV. Provider business mailing address

2666 E ADAMS ST
CARSON CA
90810-1503
US

V. Phone/Fax

Practice location:
  • Phone: 562-316-6758
  • Fax: 562-961-8205
Mailing address:
  • Phone: 562-316-6758
  • Fax: 562-961-8205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: EVANGELINE P PATEL
Title or Position: PRESIDENT
Credential: P.T.
Phone: 562-316-6758