ANOCHA SUPHOL, MPT
Physical Therapist - Sports
Active
Individual
NPI: 1003031899
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Sports | 2251S0007X | Yes | PT27871 (CA) |
| Physical Therapist - Orthopedic | 2251X0800X | No | PT27871 (CA) |
Frequently Asked Questions
NPI 1003031899 is the National Provider Identifier for ANOCHA SUPHOL, MPT, a Physical Therapist - Sports provider located in Riverside, CA. This NPI was enumerated on April 16, 2007.
ANOCHA SUPHOL, MPT practices at 4444 MAGNOLIA AVE, Riverside, CA 92501.
Quick Facts
- NPI
- 1003031899
- Type
- Individual
- Enumerated
- Apr 16, 2007
- Last Updated
- Sep 11, 2025
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