Revive Physical Therapy Professional Corporation
NPI #1891508685 in Tracy, California
Provider Information
- NPI Number
- 1891508685
- Entity Type
- Organization
- Organization Name
- Revive Physical Therapy Professional Corporation
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 28, 2025
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 2655 HENLEY PKWY UNIT 2112
- City
- Tracy
- State
- California
- ZIP Code
- 95377-2220
- Phone
- (214) 517-9435
Authorized Official
- Name
- SHAYAN MOSLEMI
- Title
- CEO
- Phone
- (214) 517-9435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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