Healthcare Provider Details
I. General information
NPI: 1447495718
Provider Name (Legal Business Name): ORTHOPEDIC PHYSICAL THERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2008
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10921 WILSHIRE BLVD STE 1208
LOS ANGELES CA
90024-4005
US
IV. Provider business mailing address
10921 WILSHIRE BLVD STE 1208
LOS ANGELES CA
90024-4005
US
V. Phone/Fax
- Phone: 424-260-2974
- Fax: 424-260-2980
- Phone: 424-260-2974
- Fax: 424-260-2980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOEL
Z.
SCHERR
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 310-657-8591