Provider Demographics
NPI:1205525250
Name:HYBRID PHYSICAL THERAPY REHABILITATION SERVICES LLC
Entity type:Organization
Organization Name:HYBRID PHYSICAL THERAPY REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-258-1800
Mailing Address - Street 1:3281 E SPRINGCREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-2378
Mailing Address - Country:US
Mailing Address - Phone:951-258-1800
Mailing Address - Fax:
Practice Address - Street 1:3281 E SPRINGCREEK RD
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-2378
Practice Address - Country:US
Practice Address - Phone:951-258-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty