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NPI Code Detail

MEDICARE: UNITED THERAPY NETWORK INCORPORATED

MEDICARE: UNITED THERAPY NETWORK INCORPORATED
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1902025307
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED THERAPY NETWORK INCORPORATED
Provider Business Mailing Address
First Line : 1845 BUSINESS CENTER DRIVE
Second Line : SUITE 127
City : SAN BERNARDINO
State : CA
Zip : 92408
Country : US
Telephone Number : 909-890-9030
Fax Number : 909-890-4393
Provider Business Practice Location Address
First Line : 100 N BARRANCA ST STE 380
Second Line :
City : WEST COVINA
State : CA
Zip : 91791-1637
Country : US
Telephone Number : 626-331-8355
Fax Number : 626-331-8165
Authorized Official
Title or Position : CEO
Name : GUDMUNDUR HEIMIR GUNNARSSON
Credential : PT
Telephone Number : 909-890-9030
Provider Enumeration Date : 04/24/2007
Last Update Date : 04/08/2021

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Directions to “UNITED THERAPY NETWORK INCORPORATED ” 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.