| Organization Name: | LAKE ARROWHEAD PHYSICAL THERAPY |
| NPI Number: | 1427486802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE COLE (DOCTOR OF PHYSICAL THERAPY) |
| Mailing Address: | 29099 Hospital Rd Suite 106 Lake Arrowhead |
| State: | CA US |
| Postal Code: | 923520070 |
| Phone Number: | 9093370844 |
| Fax Number: | 9093370045 |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 39415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |