Organization
VISTA PHYSICAL THERAPHY
Active
Organization
VISTA PHYSICAL THERAPHY
Active
Other names
Foothill Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY BAGTAS FAUNI RPT (PHYSICAL THERAPIST)
(626) 812-0366
Entity
Organization
Contact information
Practice address
6520 N IRWINDALE AVE, IRWINDALE, CA 91702-2801
(626) 812-0366
Mailing address
6520 N IRWINDALE AVE, IRWINDALE, CA 91702-2801
(626) 812-0366
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT17868
CA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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