Provider Demographics
NPI:1790291748
Name:ALLIED PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ALLIED PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-207-5820
Mailing Address - Street 1:506 E KENNY ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-4555
Mailing Address - Country:US
Mailing Address - Phone:651-207-5820
Mailing Address - Fax:651-207-5881
Practice Address - Street 1:506 E KENNY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-4555
Practice Address - Country:US
Practice Address - Phone:651-207-5820
Practice Address - Fax:651-207-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty