Basic Information
| Provider Information | |||||||||
| NPI: | 1073885935 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MILAN PHYSICAL THERAPY & ASSOCIATES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1178 N TUSTIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928676006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494124913 | ||||||||
| FaxNumber: | 2013538157 | ||||||||
| Practice Location | |||||||||
| Address1: | 1178 N TUSTIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928676006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494124913 | ||||||||
| FaxNumber: | 2013538157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2012 | ||||||||
| LastUpdateDate: | 02/07/2012 | ||||||||
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| AuthorizedOfficialLastName: | STEIJN | ||||||||
| AuthorizedOfficialFirstName: | MILAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 9494124913 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.