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NPI Code Detail

MEDICARE: SPRING FOUNTAIN PHYSICAL THERAPY INC

MEDICARE: SPRING FOUNTAIN 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 : 1740564186
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING FOUNTAIN PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 1886 SILVER LANTERN DR
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-3338
Country : US
Telephone Number : 626-293-3398
Fax Number :
Provider Business Practice Location Address
First Line : 3224 SANTA ANA ST
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-2306
Country : US
Telephone Number : 323-563-8888
Fax Number : 323-569-9840
Authorized Official
Title or Position : PRESIDENT
Name : YUEH-GUEI S BOOK
Credential : RPT
Telephone Number : 626-367-5800
Provider Enumeration Date : 10/04/2011
Last Update Date : 01/13/2014

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Directions to “SPRING FOUNTAIN PHYSICAL THERAPY INC ” Practice Location

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