Provider Demographics
NPI:1053440362
Name:A&J THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:A&J THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JESSERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOQUIERE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:626-359-8759
Mailing Address - Street 1:1223 S ALTA VISTA AVE
Mailing Address - Street 2:#B
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-5236
Mailing Address - Country:US
Mailing Address - Phone:626-359-8759
Mailing Address - Fax:626-256-3796
Practice Address - Street 1:1223 S ALTA VISTA AVE
Practice Address - Street 2:#B
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-5236
Practice Address - Country:US
Practice Address - Phone:626-359-8759
Practice Address - Fax:626-256-3796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28533225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty