MEDICARE: ALL WELL THERAPY CENTER 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	:	1639872203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL WELL THERAPY CENTER INC.

Provider Business Mailing Address
First Line	:	19267 COLIMA RD STE E
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19267 COLIMA RD STE E
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3007
Country	:	US
Telephone Number	:	626-838-2367
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SUPERVISOR
Name	:	ZHIPENG WANG
Credential	:
Telephone Number	:	626-202-3684

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	03/23/2023

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