Doctor Name: | MR. PETER QUAN |
NPI Number: | 1427096692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 30117 |
Business Practice Address: | 830 S. Citrus Ave. Suite 203 Azusa, CA - 91702 |
Business Phone Number: | 6269630583 |
Business Fax Number: | 6268575515 |
Mailing Address: | 2298 Black Pine Rd, CHINO HILLS |
State: | CA |
Postal Code: | 917094706 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 30117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |