IndividualActive
Anocha Suphol, MPT
NPI 1003031899 · Sports Physical Therapist · Riverside, CA
Provider details
- NPI number
- 1003031899
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT27871 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4444 Magnolia Ave
Riverside, CA 92501-4136
Phone: (951) 274-3524
Fax: (951) 274-3442
Approximate (ZIP-level) locationGet directions
Mailing address
4444 Magnolia Ave
Riverside, CA 92501-4136
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.