Provider Demographics
NPI:1578897815
Name:JOAN MARLENE ARIETA
Entity Type:Organization
Organization Name:JOAN MARLENE ARIETA
Other - Org Name:ALHAMBRA VALLEY PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:ARIETA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:925-930-0545
Mailing Address - Street 1:1923 OAK PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4601
Mailing Address - Country:US
Mailing Address - Phone:925-930-0545
Mailing Address - Fax:925-930-0717
Practice Address - Street 1:1923 OAK PARK BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4601
Practice Address - Country:US
Practice Address - Phone:925-930-0545
Practice Address - Fax:925-930-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 7431225100000X
CAPT 33235225100000X
CAAT 8707225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty