Provider Demographics
NPI:1114286630
Name:PLUTA MOVEMENT THERAPEUTICS
Entity Type:Organization
Organization Name:PLUTA MOVEMENT THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUTA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:619-787-2729
Mailing Address - Street 1:312 S CEDROS AVE
Mailing Address - Street 2:206
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1979
Mailing Address - Country:US
Mailing Address - Phone:619-787-2729
Mailing Address - Fax:858-350-1017
Practice Address - Street 1:312 S CEDROS AVE
Practice Address - Street 2:206
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1979
Practice Address - Country:US
Practice Address - Phone:619-787-2729
Practice Address - Fax:858-350-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT15109261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy