Provider Demographics
NPI:1194955153
Name:THOMAS ALLIED PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:THOMAS ALLIED PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:V
Authorized Official - Last Name:DEGUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-389-0187
Mailing Address - Street 1:964 E BADILLO ST # 309
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2950
Mailing Address - Country:US
Mailing Address - Phone:626-389-0187
Mailing Address - Fax:626-956-0770
Practice Address - Street 1:801 W VALLEY BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3250
Practice Address - Country:US
Practice Address - Phone:626-576-5757
Practice Address - Fax:626-576-5760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty