Tag Physical Therapy, Inc

NPI 1063581965 - Physical Therapist - 225100000X

NPI Details
NPI 1063581965
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Position OWNER
Phone (310) 426-9570
Fax (310) 426-9572
Practice Location
EL SEGUNDO CA, 90245-3908, US
Phone (310) 426-9570
Fax (310) 426-9572
Business Location
PO BOX 1767
EL SEGUNDO CA, 90245-6767, US
Phone (310) 426-9570
Fax (310) 426-9572
Taxonomy Code 225100000X
License State California
License Number PT18015
Remove 1063581965 NPI Number

According to our database, Tag Physical Therapy, Inc NPI is 1063581965, taxonomy code is 225100000X and license number is PT18015, license state is located at California. Tag Physical Therapy, Inc physically located at 111 Penn St, El Segundo CA, 90245-3908. NPI Number 1033115704 has the healthcare provider type.

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1063581965 NPI number is provided on an as is basis without warranty of any kind. 1063581965 is maintained by the National Plan & Provider Enumeration System. The contents of Tag Physical Therapy, Inc are for informational purposes only.