Provider Demographics
NPI:1316565724
Name:HEAL PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:HEAL PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARWA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-919-8939
Mailing Address - Street 1:800 N EL CAMINO REAL UNIT 106
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3760
Mailing Address - Country:US
Mailing Address - Phone:415-919-8939
Mailing Address - Fax:
Practice Address - Street 1:800 N EL CAMINO REAL UNIT 106
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3760
Practice Address - Country:US
Practice Address - Phone:415-919-8939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty