| Organization Name: | ABOVE AND BEYOND PHYSICAL THEARPY INC |
| NPI Number: | 1164795761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER SALZER-DEVITO (OWNER) |
| Mailing Address: | 42007 Fox Farm Rd Ste 2a Big Bear Lake |
| State: | CA US |
| Postal Code: | 92315 |
| Phone Number: | 9092890879 |
| Fax Number: | 9098667020 |
| NPI Enumeration Date: | 02/14/2012 |
| NPI Last Update Date: | 02/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT25817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |