| Organization Name: | KING CITY PHYSICAL THERAPY APC |
| NPI Number: | 1043379282 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE L ESTRADA (BILLING MANAGER) |
| Mailing Address: | 200 Broadway St Ste 28 King City |
| State: | CA US |
| Postal Code: | 939302865 |
| Phone Number: | 8313869710 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT06391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |