MEDICARE: MR. HENRICK MACALINTAL DPT

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	28882	CA

General Provider Information

NPI Number	:	1205846615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HENRICK MACALINTAL DPT

Provider Business Mailing Address
First Line	:	1230 IVY TER
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-1603
Country	:	US
Telephone Number	:	424-558-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	14708 HAWTHORNE BLVD.
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-1523
Country	:	US
Telephone Number	:	800-659-9311
Fax Number	:	562-989-6516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	09/02/2016

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