| Organization Name: | LAMONT PHYSICAL THERAPY-. |
| NPI Number: | 1033305164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL SHELTON WHITESIDE (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 10130 Main St Ste., A Lamont |
| State: | CA US |
| Postal Code: | 932411740 |
| Phone Number: | 6618450600 |
| Fax Number: | 6618450640 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | OPT23092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |