Organization
AQE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT QUIRAD ESCOBAR RPT (PRESIDENT)
(323) 717-0450
Entity
Organization
Contact information
Practice address
433 N 4TH ST STE 216, MONTEBELLO, CA 90640-4309
(323) 229-4910
Mailing address
433 N 4TH ST STE 216, MONTEBELLO, CA 90640-4309
(323) 229-4910
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT19096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50899077
IPA'S
CA
05
—
50899077
—
CA
Enumeration date
01/03/2018
Last updated
06/16/2018
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