Provider Demographics
NPI:1417652892
Name:PRITZLPT LLC
Entity Type:Organization
Organization Name:PRITZLPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRITZL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:949-240-1016
Mailing Address - Street 1:31952 DEL OBISPO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3124
Mailing Address - Country:US
Mailing Address - Phone:949-240-1016
Mailing Address - Fax:
Practice Address - Street 1:31952 DEL OBISPO ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3124
Practice Address - Country:US
Practice Address - Phone:949-240-1016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty