Healthcare Provider Details
I. General information
NPI: 1326436403
Provider Name (Legal Business Name): ADVOCATE PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/24/2014
Last Update Date: 12/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2112 EASTMAN AVE SUITE 101
VENTURA CA
93003-5773
US
IV. Provider business mailing address
2112 EASTMAN AVE SUITE 101
VENTURA CA
93003-5773
US
V. Phone/Fax
- Phone: 805-658-8300
- Fax: 805-658-8318
- Phone: 805-658-8300
- Fax: 805-658-8318
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 38224 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
JOSHUA
T
TURNER
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 323-828-4932