Provider Demographics
NPI:1568604080
Name:D&E PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:D&E PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:GERSALE
Authorized Official - Last Name:SAPIO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:323-268-1700
Mailing Address - Street 1:810 S INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-1820
Mailing Address - Country:US
Mailing Address - Phone:323-268-1700
Mailing Address - Fax:323-268-6400
Practice Address - Street 1:810 S INDIANA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-1820
Practice Address - Country:US
Practice Address - Phone:323-268-1700
Practice Address - Fax:323-268-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26707261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy