Provider Demographics
NPI:1528680501
Name:HEALTHZONE PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:HEALTHZONE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:A
Authorized Official - Last Name:THARP
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:949-566-9067
Mailing Address - Street 1:10532 STANLEY LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-2032
Mailing Address - Country:US
Mailing Address - Phone:949-566-9067
Mailing Address - Fax:
Practice Address - Street 1:2700 W COAST HWY STE 234
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4728
Practice Address - Country:US
Practice Address - Phone:949-566-9067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy