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Organization

MONTEBELLO PHYSICAL THERAPY CENTER

Active
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Organization

MONTEBELLO PHYSICAL THERAPY CENTER

Active
Other names
Montebello Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN MCCOY (MANAGER)
(323) 722-8020
Entity
Organization

Contact information

Practice address
433 N 4TH ST, SUITE 102, MONTEBELLO, CA 90640-4311
(323) 722-8280
(323) 722-9256
Mailing address
PO BOX 369, MONTEBELLO, CA 90640-0369
(323) 722-8020
(323) 724-9737

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6244
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023200011
RENDERING PROVIDER
CA
01
W21697
PTAN
CA
01
WPT6244A
RENDERING PTAN
CA
Enumeration date
02/16/2007
Last updated
02/28/2008
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