Prime Home Physical Therapy P.c.
NPI #1174913164 in Tracy, California
Provider Information
- NPI Number
- 1174913164
- Entity Type
- Organization
- Organization Name
- Prime Home Physical Therapy P.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 28, 2015
- Last Updated
- Jan 4, 2017
Practice Location
- Address
- 1762 SCHANTZ WAY
- City
- Tracy
- State
- California
- ZIP Code
- 95376-6742
- Phone
- (510) 410-7623
Authorized Official
- Name
- ANTHONY PHILLIPS, D.P.T.
- Title
- OWNER
- Phone
- (510) 410-7623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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