Healthcare Provider Details

I. General information

NPI: 1770703266
Provider Name (Legal Business Name): CHOICE PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41278 MARGARITA ROAD SUITE 102 CHOICE PHYSICAL THERAPY INC
TEMECULA CA
92591
US

IV. Provider business mailing address

41278 MARGARITA ROAD SUITE 102 CHOICE PHYSICAL THERAPY INC
TEMECULA CA
92591
US

V. Phone/Fax

Practice location:
  • Phone: 951-587-8105
  • Fax: 951-587-8405
Mailing address:
  • Phone: 951-587-8105
  • Fax: 951-587-8405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SEBASTIAN CERDA
Title or Position: PRESIDENT
Credential: RPT
Phone: 951-587-8105