Provider Demographics
NPI:1063827426
Name:FERROLINO, DON F (PT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:F
Last Name:FERROLINO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16025 GALE AVE
Mailing Address - Street 2:SUITE B-8
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1600
Mailing Address - Country:US
Mailing Address - Phone:626-333-3172
Mailing Address - Fax:626-333-3163
Practice Address - Street 1:16025 GALE AVE
Practice Address - Street 2:SUITE B-8
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91745-1600
Practice Address - Country:US
Practice Address - Phone:626-333-3172
Practice Address - Fax:626-333-3163
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA16584OtherPHYSICAL THERAPY BOARD