Provider Demographics
NPI:1457642571
Name:TOLOS PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:TOLOS PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOLOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:310-837-8001
Mailing Address - Street 1:2514 OVERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3333
Mailing Address - Country:US
Mailing Address - Phone:310-837-8001
Mailing Address - Fax:310-837-8007
Practice Address - Street 1:2514 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3333
Practice Address - Country:US
Practice Address - Phone:310-837-8001
Practice Address - Fax:310-837-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-23
Last Update Date:2011-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty