Provider Demographics
NPI:1902213127
Name:ROBERT LOUIE, PHYSICAL THERAPIST, INCORPORATED
Entity Type:Organization
Organization Name:ROBERT LOUIE, PHYSICAL THERAPIST, INCORPORATED
Other - Org Name:ACCESS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:310-488-6602
Mailing Address - Street 1:23043 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2719
Mailing Address - Country:US
Mailing Address - Phone:661-288-0022
Mailing Address - Fax:661-288-2030
Practice Address - Street 1:23043 LYONS AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2719
Practice Address - Country:US
Practice Address - Phone:310-488-6602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25443261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy