Organization
ACCESS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ETESSAM D.P.T. (PRESIDENT)
(661) 224-1022
Entity
Organization
Contact information
Practice address
1850 E PALMDALE BLVD, PALMDALE, CA 93550-2026
(661) 224-1022
(661) 224-1165
Mailing address
1850 E PALMDALE BLVD, PALMDALE, CA 93550-2026
(661) 224-1022
(661) 224-1165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT20329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0203290
—
CA
Enumeration date
03/05/2007
Last updated
06/01/2009
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