Provider Demographics
NPI:1811037773
Name:HANDS ON PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANRIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:949-709-8770
Mailing Address - Street 1:30212 TOMAS STE 120
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2173
Mailing Address - Country:US
Mailing Address - Phone:949-709-8770
Mailing Address - Fax:949-709-4064
Practice Address - Street 1:30212 TOMAS
Practice Address - Street 2:SUITE 120
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2172
Practice Address - Country:US
Practice Address - Phone:949-709-8770
Practice Address - Fax:949-709-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA186572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty