Provider Demographics
NPI:1124603972
Name:GLOBAL PHYSICAL THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:GLOBAL PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:KIEN
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:714-876-4323
Mailing Address - Street 1:12131 BROOKHURST ST STE B
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-2863
Mailing Address - Country:US
Mailing Address - Phone:714-876-4323
Mailing Address - Fax:714-684-8000
Practice Address - Street 1:12131 BROOKHURST ST STE B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-2863
Practice Address - Country:US
Practice Address - Phone:714-876-4323
Practice Address - Fax:714-684-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty