1770667073 NPI number — RUSSELL LEE PHYSICAL THERAPY INC

Table of content: (NPI 1770667073)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770667073 NPI number — RUSSELL LEE PHYSICAL THERAPY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RUSSELL LEE PHYSICAL THERAPY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770667073
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31884 CASTAIC RD
Provider Second Line Business Mailing Address:
SUITE C-3
Provider Business Mailing Address City Name:
CASTAIC
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91384-3946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-295-0078
Provider Business Mailing Address Fax Number:
661-295-6783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3217 MT PINOS WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRAZIER PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-245-2003
Provider Business Practice Location Address Fax Number:
661-245-2004
Provider Enumeration Date:
10/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
LYNN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
OWNER PHYSICAL THERAPIST
Authorized Official Telephone Number:
661-295-0078

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  PT 5600 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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