| Organization Name: | FOCUS FORWARD WELLNESS & PHYSICAL THERAPY |
| NPI Number: | 1932353034 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDY ANN BIALE (CFO) |
| Mailing Address: | 2436 Foothill Blvd Suite C Calistoga |
| State: | CA US |
| Postal Code: | 945151209 |
| Phone Number: | 7079423927 |
| Fax Number: | 7079423965 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT 19438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |