Provider Demographics
NPI:1730779760
Name:THE HEIGHTS PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:THE HEIGHTS PHYSICAL THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:PUCHNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:562-522-2661
Mailing Address - Street 1:3620 LONG BEACH BLVD STE C11
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-6016
Mailing Address - Country:US
Mailing Address - Phone:714-329-9105
Mailing Address - Fax:
Practice Address - Street 1:3620 LONG BEACH BLVD STE C11
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-6016
Practice Address - Country:US
Practice Address - Phone:714-329-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-23
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty