Organization
ALPINE PHYSICAL THERAPY & WELLNESS CENTER, INC
Active
Organization
ALPINE PHYSICAL THERAPY & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DANIEL KRAEMER PT NCS (PRESIDENT)
(619) 445-3168
Entity
Organization
Contact information
Practice address
2549 ALPINE BLVD, ALPINE, CA 91901-3950
(619) 445-3168
(619) 445-5368
Mailing address
2549 ALPINE BLVD, ALPINE, CA 91901-3950
(619) 445-3168
(619) 445-5368
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT001571
—
CA
05
—
PT0211000
—
CA
Enumeration date
09/08/2006
Last updated
01/13/2012
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