Provider Demographics
NPI:1427163237
Name:PUNO PHYSICAL THERAPY SERVICES, INC
Entity type:Organization
Organization Name:PUNO PHYSICAL THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:PUNO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:626-356-0538
Mailing Address - Street 1:750 E GREEN ST
Mailing Address - Street 2:308
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2120
Mailing Address - Country:US
Mailing Address - Phone:626-356-0538
Mailing Address - Fax:626-356-0628
Practice Address - Street 1:750 E GREEN ST
Practice Address - Street 2:308
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2120
Practice Address - Country:US
Practice Address - Phone:626-356-0538
Practice Address - Fax:626-356-0628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy