Prunedale Physical Therapy

NPI #1053492207 in Prunedale, California

Provider Information

NPI Number: 1053492207
Entity Type: Organization
Organization Name: Prunedale Physical Therapy
Primary Specialty: Specialist
Enumeration Date: Oct 17, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 17823 COUNTRYSIDE CT
City: Prunedale
State: California
ZIP Code: 93907-8804
Phone: (831) 663-8819

Authorized Official

Name: MRS. YARA MIRAMONTES
Title: OFFICE MANAGER
Phone: (831) 663-8819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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