Provider Demographics
NPI:1083210686
Name:CHILDREN'S PHYSICAL THERAPY AND WELLNESS CORPORATION
Entity Type:Organization
Organization Name:CHILDREN'S PHYSICAL THERAPY AND WELLNESS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRIZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGASPI-PARTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:760-341-0222
Mailing Address - Street 1:44850 LAS PALMAS AVE STE F
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3558
Mailing Address - Country:US
Mailing Address - Phone:760-341-0222
Mailing Address - Fax:760-477-6077
Practice Address - Street 1:44850 LAS PALMAS AVE STE F
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3558
Practice Address - Country:US
Practice Address - Phone:760-341-0222
Practice Address - Fax:760-477-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty