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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