Organization
BODYBASICS PHYSICAL THERAPY, INC.
Active
Organization
BODYBASICS PHYSICAL THERAPY, INC.
Active
Other names
BodyBasics Physical Therapy, Body Basics Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HUNSAKER PT (PRESIDENT)
(951) 736-5646
Entity
Organization
Contact information
Practice address
3178 HAMNER AVE STE 4, NORCO, CA 92860-1936
(951) 736-5646
(951) 736-5694
Mailing address
2275 S MAIN ST STE 102, CORONA, CA 92882-5303
(951) 273-7742
(951) 273-7747
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ09067Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
06/29/2005
Last updated
01/26/2021
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