Organization
POLITO PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CHRISTOPHER POLITO P.T. (PRESIDENT)
(626) 449-5005
Entity
Organization
Contact information
Practice address
39 CONGRESS ST, SUITE 303, PASADENA, CA 91105-3024
(626) 449-5005
(626) 449-5025
Mailing address
39 CONGRESS ST, SUITE 303, PASADENA, CA 91105-3024
(626) 449-5005
(626) 449-5025
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64425Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
01/25/2007
Last updated
07/28/2009
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