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Anocha Suphol, MPT
Orthopedic Physical Therapist in Riverside, California
NPI 1003031899

Anocha Suphol is a Orthopedic Physical Therapist based in Riverside, CA and is specialized in Orthopedic. Anocha Suphol practices in Riverside, CA and has the professional credentials of MPT. The NPI Number for Anocha Suphol is 1003031899 and holds a License No. PT27871 (California).

The current practice location address for Anocha Suphol is 4444 Magnolia Ave, Riverside, CA and can be reached out via phone at 951-274-3524 and via fax at 951-274-3442. You can also correspond with Anocha Suphol through the mailing address at 4444 MAGNOLIA AVE, RIVERSIDE, CA - 92501-4136 (mailing address contact number: 951-274-3524).

Location: 4444 Magnolia Ave, Riverside, CA, 92501-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003031899
Provider Name
Anocha Suphol
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
4444 Magnolia Ave, Riverside, CA, 92501-4136
Phone Number
951-274-3524
Fax Number
951-274-3442
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4444 Magnolia Ave
City
Riverside
State
California
Zip
92501-4136
Phone Number
951-274-3524
Fax Number
951-274-3442
person
Provider Business Mailing Address Details
Address
4444 Magnolia Ave
City
Riverside
State
California
Zip
92501-4136
Phone Number
951-274-3524
Fax Number
951-274-3442
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
PT27871 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT27871 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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