Healthcare Provider Details

I. General information

NPI: 1306557434
Provider Name (Legal Business Name): EXCEL-LIN THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 COLLARD WAY
PLACENTIA CA
92870
US

IV. Provider business mailing address

432 COLLARD WAY
PLACENTIA CA
92870
US

V. Phone/Fax

Practice location:
  • Phone: 714-271-7578
  • Fax: 714-528-1718
Mailing address:
  • Phone: 714-271-7578
  • Fax: 714-528-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DONNY I. LIN
Title or Position: PRESIDENT/CEO
Credential: PT
Phone: 714-271-7578