Organization
SPORTS INJURY PHYSICAL THERAPY, INC
Active
Other names
Professional Orthopedic and Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LEE WENTZ P.T. (OWNER)
(626) 356-0599
Entity
Organization
Contact information
Practice address
801 S RAYMOND AVE, PASADENA, CA 91105-3223
(626) 356-0599
(626) 356-0570
Mailing address
801 S RAYMOND AVE, PASADENA, CA 91105-3223
(626) 356-0599
(626) 356-0570
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
WPT14957B
CA
261QP2000X
Physical Therapy Clinic/Center
WPT20125B
CA
261QP2000X
Physical Therapy Clinic/Center
WPT21776B
CA
261QP2000X
Physical Therapy Clinic/Center
WPT27120B
CA
Other
Enumeration date
10/13/2006
Last updated
05/13/2015
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