Provider Demographics
NPI:1306039789
Name:MOTION PROS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MOTION PROS PHYSICAL THERAPY
Other - Org Name:MOTION PROS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:T
Authorized Official - Last Name:EGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:661-424-9333
Mailing Address - Street 1:27141 HIDAWAY AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-4131
Mailing Address - Country:US
Mailing Address - Phone:661-424-9333
Mailing Address - Fax:661-424-9463
Practice Address - Street 1:27141 HIDAWAY AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-4131
Practice Address - Country:US
Practice Address - Phone:661-424-9333
Practice Address - Fax:661-424-9463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24356261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy