Provider Demographics
NPI:1639575244
Name:SANTA BARBARA PHYSIOTHERAPY- A PHYSICAL THERAPY CORPORATION
Entity Type:Organization
Organization Name:SANTA BARBARA PHYSIOTHERAPY- A PHYSICAL THERAPY CORPORATION
Other - Org Name:SB PHYSIO
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN LEUVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-698-0766
Mailing Address - Street 1:41 HITCHCOCK WAY
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3174
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 HITCHCOCK WAY
Practice Address - Street 2:1ST FLOOR
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3174
Practice Address - Country:US
Practice Address - Phone:805-698-0766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-08
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty