Provider Demographics
NPI:1972861730
Name:CHOICE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:CHOICE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STUEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-672-2298
Mailing Address - Street 1:3602 VIA ALICIA
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-7210
Mailing Address - Country:US
Mailing Address - Phone:760-672-2298
Mailing Address - Fax:760-630-2298
Practice Address - Street 1:3602 VIA ALICIA
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-7210
Practice Address - Country:US
Practice Address - Phone:760-672-2298
Practice Address - Fax:760-630-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty