MEDICARE: REDEEM PHYSICAL THERAPY & PERFORMANCE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1184330284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEEM PHYSICAL THERAPY & PERFORMANCE INC.

Provider Business Mailing Address
First Line	:	5951 SULTANA AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1548
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5951 SULTANA AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1548
Country	:	US
Telephone Number	:	626-636-6390
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WAYNE WU
Credential	:	DPT
Telephone Number	:	626-636-6390

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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