Provider Demographics
NPI:1144241001
Name:GET WELL PHYSICAL THERAPY & REHAB CENTER
Entity Type:Organization
Organization Name:GET WELL PHYSICAL THERAPY & REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:AZITA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZDANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:562-433-4425
Mailing Address - Street 1:269 KENNEBEC AVE
Mailing Address - Street 2:1
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5772
Mailing Address - Country:US
Mailing Address - Phone:562-433-4425
Mailing Address - Fax:
Practice Address - Street 1:2690 PACIFIC AVE
Practice Address - Street 2:390
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2657
Practice Address - Country:US
Practice Address - Phone:562-427-2894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty