San Luis Obispo County Ccs
NPI #1255421046 in Atascadero, California
Provider Information
- NPI Number
- 1255421046
- Entity Type
- Organization
- Organization Name
- San Luis Obispo County Ccs
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8500 SAN GABRIEL RD
- Address 2
- BOX A
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-4940
- Phone
- (805) 461-6126
Authorized Official
- Name
- GAIL FREILER
- Title
- SUPERVISING THERAPIST
- Phone
- (805) 461-6126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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