Magnolia Physical Therapy

LBN: Anaheim Physical Therapy And Aquatic Rehab
Magnolia Physical Therapy is an health care organization with primary practice located at 1189 N Euclid St , Anaheim CA 92801-1938. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Anaheim Physical Therapy And Aquatic Rehab can be contacted via phone (714) 808-0008, or through Fracalosy, Carol M. via phone (714) 808-0008.

Contact Information

Primary practice address
1189 N Euclid St Anaheim CA 92801-1938
Phone: (714) 808-0008
Fax: (714) 808-0168
Website:
Map and Directions
Authorized official contact:
Name: Fracalosy, Carol M. Physical Therapist (PT)
Phone: (714) 808-0008

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X BUS2003-01454 California

Profile Details

NPI number 1710934666
LBN Legal business name Anaheim Physical Therapy And Aquatic Rehab
DBA Doing business as Magnolia Physical Therapy
Authorized official Fracalosy, Carol M. Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Jun 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710934666 NPPES
California MEDICAID GPT001610

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