Provider Demographics
NPI:1093989568
Name:APT PHYSICAL THERAPY
Entity Type:Organization
Organization Name:APT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:626-964-1727
Mailing Address - Street 1:18931 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2942
Mailing Address - Country:US
Mailing Address - Phone:626-964-1727
Mailing Address - Fax:626-964-1854
Practice Address - Street 1:18931 COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2942
Practice Address - Country:US
Practice Address - Phone:626-964-1727
Practice Address - Fax:626-964-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 2859261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy