Provider Demographics
NPI:1740635861
Name:HL&L PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:HL&L PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADRMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-255-1694
Mailing Address - Street 1:1329 BARTON ROAD
Mailing Address - Street 2:STE B
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:909-255-1694
Mailing Address - Fax:
Practice Address - Street 1:1329 BARTON ROAD
Practice Address - Street 2:STE B
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373
Practice Address - Country:US
Practice Address - Phone:909-255-1694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2018-04-11
Deactivation Date:2018-04-03
Deactivation Code:
Reactivation Date:2018-04-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy