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Organization
PTP, INC
Active
Organization
PTP, INC
Active
Other names
Practical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI PEAVY MPT (ONWER)
(706) 306-3641
Entity
Organization
Contact information
Practice address
320 W VALLEY BLVD, ALHAMBRA, CA 91803-3338
(626) 289-2268
(626) 289-3499
Mailing address
1814 W ALAMEDA AVE, BURBANK, CA 91506-2929
(706) 306-3641
(818) 861-7348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM991A
MEDICARE
CA
Enumeration date
10/14/2011
Last updated
05/21/2014
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