Organization
LITTLEFIELD PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MARTIN LITTLEFIELD (ADMINISTRATOR)
(951) 676-7693
Entity
Organization
Contact information
Practice address
1445 N SUNRISE WAY, STE. 102A, PALM SPRINGS, CA 92262-3700
(760) 322-1014
(760) 322-1074
Mailing address
PO BOX 893337, TEMECULA, CA 92589-3337
(951) 676-7693
(951) 676-7830
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
28443
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833139
MEDI-CAL
CA
Enumeration date
09/30/2010
Last updated
09/30/2010
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