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NPI Code Detail

MEDICARE: MAXUM PHYSICAL THERAPY INC

MEDICARE: MAXUM 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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1629002936
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXUM PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 774 S PLACENTIA AVE STE 100
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6838
Country : US
Telephone Number : 714-646-8318
Fax Number : 714-455-3656
Provider Business Practice Location Address
First Line : 774 S PLACENTIA AVE STE 100
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6838
Country : US
Telephone Number : 714-646-8318
Fax Number : 714-455-3656
Authorized Official
Title or Position : HEAD COACH
Name : MR. ANANT B DESAI
Credential : PT
Telephone Number : 714-646-8318
Provider Enumeration Date : 07/10/2006
Last Update Date : 12/09/2025

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Directions to “MAXUM PHYSICAL THERAPY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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