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NPI Code Detail

MEDICARE: PRO-HEALTH PHYSICAL THERAPY INC.

MEDICARE: PRO-HEALTH PHYSICAL THERAPY 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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1205935723
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO-HEALTH PHYSICAL THERAPY INC.
Provider Business Mailing Address
First Line : 2850 ARTESIA BLVD
Second Line : STE 207
City : REDONDO BEACH
State : CA
Zip : 90278-3419
Country : US
Telephone Number : 310-371-4774
Fax Number : 310-371-3453
Provider Business Practice Location Address
First Line : 2850 ARTESIA BLVD
Second Line : STE 207
City : REDONDO BEACH
State : CA
Zip : 90278-3419
Country : US
Telephone Number : 310-371-4774
Fax Number : 310-371-3453
Authorized Official
Title or Position : PRESIDENT
Name : MS. DANIELA ALEKSICH
Credential : PT
Telephone Number : 310-371-4774
Provider Enumeration Date : 09/21/2006
Last Update Date : 04/17/2024

Similar Medicare Providers

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Practice Location Address:
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1861413379 — DR. BARRY A. WERTHEIMER D.P.M.
Practice Location Address:
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1124032586 — MRS. DANIELA ALEKSICH PT
Practice Location Address:
2850 ARTESIA BLVD , STE 207
REDONDO BEACH, CA
90278-3419
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Practice Fax: 310-371-3453
1699789016 — MS. GENEVIEVE FERLAND D.P.T.
Practice Location Address:
2850 ARTESIA BLVD , STE 207
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1962418996 — MS. SARAH ANN KILEY DC
Practice Location Address:
2850 ARTESIA BLVD , STE 207
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1508965013 — KILEY CHIROPRACTIC
Practice Location Address:
2850 ARTESIA BLVD , STE 207
REDONDO BEACH, CA
90278-3419
Practice Phone: 310-371-4774
Practice Fax: 310-371-3453

Directions to “PRO-HEALTH PHYSICAL THERAPY INC. ” Practice Location

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