Organization · NPI-2
168 In & Out Home Therapy, INC
Physical Therapist · Diamond Bar, CA
NPI number1487320313
StatusActive
Last updated in NPPESAug 20, 2021
Details
- NPI
- 1487320313
- Entity type
- Organization (NPI-2)
- Legal business name
- 168 In & Out Home Therapy, INC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2021
- Certification date
- Aug 19, 2021
- Last updated
- Aug 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 2251S0007X | Physical Therapist, Sports | – | – | |
| 2251X0800X | Physical Therapist, Orthopedic | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 2251E1200X | Physical Therapist, Ergonomics | – | – | |
| 2251G0304X | Physical Therapist, Geriatrics | – | – | |
| 2251N0400X | Physical Therapist, Neurology | – | – |
Practice location
1710 Kiowa Crest DrDiamond Bar, CA 91765-2911
Phone 626-764-2828
Mailing address
1710 Kiowa Crest DrDiamond Bar, CA 91765-2911
Phone 626-764-2828
Authorized official
Hokkei Hwang
Owner/Manager
6267642828
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