Provider Demographics
NPI:1063284388
Name:HOLISTIC PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:HOLISTIC PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANEV
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:714-466-0624
Mailing Address - Street 1:101 N MAIN ST UNIT 1537
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-9998
Mailing Address - Country:US
Mailing Address - Phone:714-466-0624
Mailing Address - Fax:
Practice Address - Street 1:65 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-8703
Practice Address - Country:US
Practice Address - Phone:714-466-0624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy