Sports Medicine and Rehab Therapy, Inc.

NPI #1528147907 in Bishop, California

Provider Information

NPI Number: 1528147907
Entity Type: Organization
Organization Name: Sports Medicine and Rehab Therapy, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 4, 2006
Last Updated: Feb 9, 2009

Practice Location

Address: 152 PIONEER LN
Address 2: SUITE D
City: Bishop
State: California
ZIP Code: 93514-2563
Phone: (760) 873-8220

Authorized Official

Name: MS. PATRICIA L. GARDNER, P.T.
Title: PRESIDENT
Phone: (760) 873-8220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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