Healthcare Provider Details

I. General information

NPI: 1851834840
Provider Name (Legal Business Name): HEALTHCARE PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 11/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18856 AMAR RD STE 8
WALNUT CA
91789-7102
US

IV. Provider business mailing address

18856 AMAR RD STE 8
WALNUT CA
91789-7102
US

V. Phone/Fax

Practice location:
  • Phone: 626-667-8600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number42147
License Number StateCA

VIII. Authorized Official

Name: GULRUKH SAEED
Title or Position: DOCTOR IN PHYSICAL THERAPY
Credential: DPT
Phone: 626-667-8600