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Ambulatory Health Care Facilities Clinic/Center Physical Therapy

Provider NPI: 1518159607

Organization Information:
Organization is not Subpart
Authorized Official:  JULIE ANN EVANS  OCCUPATIONAL THERAPIST  559-439-2002

Practice Location:
6760 N WEST AVE STE 104  FRESNO, CA 93711-1396 US
Tel: 559-439-2002  Fax: --

Business Mailing Address:
6760 N WEST AVE STE 104  FRESNO, CA 93711-1396 US
Tel: 559-439-2002  Fax: --

NPI Information:
NPI: 1518159607
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP2000XAmbulatory Health Care Facilities
Physical Therapy

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QP2000X





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