Provider Demographics
NPI:1477669703
Name:ALPHA PHYSICAL AND OCCUPATIONAL THERAPY, INC.
Entity Type:Organization
Organization Name:ALPHA PHYSICAL AND OCCUPATIONAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOAZ
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:HOPENSTAND
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:562-927-7310
Mailing Address - Street 1:8337 TELEGRAPH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-4909
Mailing Address - Country:US
Mailing Address - Phone:562-927-7310
Mailing Address - Fax:562-927-7179
Practice Address - Street 1:8337 TELEGRAPH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-4909
Practice Address - Country:US
Practice Address - Phone:562-927-7310
Practice Address - Fax:562-927-7179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy