| Organization Name: | CALIFORNIA PHYSICAL THERAPY MANAGEMENT INC |
| NPI Number: | 1053561373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANA VAN SURKSUM (DIRECTOR) |
| Mailing Address: | 1300 W 155th St Suite 203 Gardena |
| State: | CA US |
| Postal Code: | 902474048 |
| Phone Number: | 3103291444 |
| Fax Number: | 3103299586 |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |