Provider Demographics
NPI:1215605084
Name:COMFORT DESIGNED THERAPY
Entity type:Organization
Organization Name:COMFORT DESIGNED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:562-587-2985
Mailing Address - Street 1:11410 BROOKSHIRE AVE APT 328
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5014
Mailing Address - Country:US
Mailing Address - Phone:562-587-2985
Mailing Address - Fax:
Practice Address - Street 1:11410 BROOKSHIRE AVE APT 328
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5014
Practice Address - Country:US
Practice Address - Phone:562-587-2985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-05
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy