Provider Demographics
NPI:1265668958
Name:SUMMIT-ONE PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:SUMMIT-ONE PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VOLTAIRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-860-8880
Mailing Address - Street 1:19444 NORWALK BLVD
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7158
Mailing Address - Country:US
Mailing Address - Phone:562-860-8880
Mailing Address - Fax:562-860-3887
Practice Address - Street 1:19444 NORWALK BLVD
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7158
Practice Address - Country:US
Practice Address - Phone:562-860-8880
Practice Address - Fax:562-860-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy