Organization Name: | BODYBASICS PHYSICAL THERAPY, INC. |
NPI Number: | 1487651097 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT HUNSAKER (PRESIDENT) |
Mailing Address: | 3179 Hamner Ave Suite 7 Norco |
State: | CA US |
Postal Code: | 928601983 |
Phone Number: | 9517365646 |
Fax Number: | 9517365694 |
NPI Enumeration Date: | 06/29/2005 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |