Organization
ATP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MARK MALLETT DPT (PRESIDENT/OWNER)
(626) 403-6545
Entity
Organization
Contact information
Practice address
1942 HUNTINGTON DR, SOUTH PASADENA, CA 91030
(626) 403-6545
(626) 441-7660
Mailing address
1942 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4959
(626) 403-6545
(626) 441-7660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19540
GROUP ID FOR ATP PHYSICAL
CA
Enumeration date
08/03/2006
Last updated
08/09/2018
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