Provider Demographics
NPI:1205846615
Name:MACALINTAL, HENRICK (DPT)
Entity Type:Individual
Prefix:MR
First Name:HENRICK
Middle Name:
Last Name:MACALINTAL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 IVY TER
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1603
Mailing Address - Country:US
Mailing Address - Phone:424-558-8315
Mailing Address - Fax:
Practice Address - Street 1:14708 HAWTHORNE BLVD.
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1523
Practice Address - Country:US
Practice Address - Phone:800-659-9311
Practice Address - Fax:562-989-6516
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist