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NPI Code Detail

MEDICARE: ULTRA HEALTH PHYSICAL THERAPY INC

MEDICARE: ULTRA 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1245532100
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTRA HEALTH PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 2677 ZOE AVE STE 120
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-6995
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2677 ZOE AVE STE 120
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-6995
Country : US
Telephone Number : 714-478-5927
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NOLI SAPURIADA
Credential :
Telephone Number : 714-478-5927
Provider Enumeration Date : 11/29/2010
Last Update Date : 11/29/2010

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Directions to “ULTRA HEALTH PHYSICAL THERAPY INC ” Practice Location

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