Provider Demographics
NPI:1417639410
Name:ALJ PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:ALJ PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANABELLE
Authorized Official - Middle Name:LU
Authorized Official - Last Name:JUSTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:951-522-1920
Mailing Address - Street 1:9229 QUEENS BLVD APT 17D
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9229 QUEENS BLVD APT 17D
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1062
Practice Address - Country:US
Practice Address - Phone:951-522-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty