Provider Demographics
NPI:1891010898
Name:BAKERSFIELD PHYSICAL THERAPY-FITNESS, INC
Entity Type:Organization
Organization Name:BAKERSFIELD PHYSICAL THERAPY-FITNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZEINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:661-616-0888
Mailing Address - Street 1:1400 EASTON DR
Mailing Address - Street 2:SUITE 131
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-9412
Mailing Address - Country:US
Mailing Address - Phone:661-616-0888
Mailing Address - Fax:661-616-0889
Practice Address - Street 1:1400 EASTON DR
Practice Address - Street 2:SUITE 131
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-9412
Practice Address - Country:US
Practice Address - Phone:661-616-0888
Practice Address - Fax:661-616-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA117752261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy