Provider Demographics
NPI:1073342655
Name:PATRICK LENNARTZ AND ASSOCIATES PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:PATRICK LENNARTZ AND ASSOCIATES PHYSICAL THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:LENNARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-657-8591
Mailing Address - Street 1:439 N CANON DR STE 207
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-3908
Mailing Address - Country:US
Mailing Address - Phone:310-657-8591
Mailing Address - Fax:
Practice Address - Street 1:439 N CANON DR STE 207
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-3908
Practice Address - Country:US
Practice Address - Phone:310-657-8591
Practice Address - Fax:310-657-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy