County of Tuolumne

NPI #1487859864 in Groveland, California

Provider Information

NPI Number: 1487859864
Entity Type: Organization
Organization Name: County of Tuolumne
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF TUOLUMNE
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2007
Last Updated: Jan 15, 2008

Practice Location

Address: 18687 MAIN STREET
City: Groveland
State: California
ZIP Code: 95321
Phone: (209) 962-4035

Authorized Official

Name: MR. CRAIG L PEDRO
Title: COUNTY ADMINISTRATOR
Phone: (209) 533-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Clinic/Center - Pain — Pain	261QP3300X

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