Provider Demographics
NPI:1811335300
Name:ALPHA PHYSICAL THERAPY NETWORK INC.
Entity type:Organization
Organization Name:ALPHA PHYSICAL THERAPY NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-705-6228
Mailing Address - Street 1:290 CORPORATE TERRACE CIR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-6033
Mailing Address - Country:US
Mailing Address - Phone:888-770-6589
Mailing Address - Fax:858-435-1034
Practice Address - Street 1:290 CORPORATE TERRACE CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-6033
Practice Address - Country:US
Practice Address - Phone:888-770-6589
Practice Address - Fax:858-435-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy