Edizon Physical Therapy Inc.

NPI #1972526358 in Adelanto, California

Provider Information

NPI Number: 1972526358
Entity Type: Organization
Organization Name: Edizon Physical Therapy Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Jul 26, 2006
Last Updated: Oct 25, 2007

Practice Location

Address: 11336 BARTLETT AVE STE 11
City: Adelanto
State: California
ZIP Code: 92301-1950
Phone: (760) 246-8846

Authorized Official

Name: MR. HENDRICK D GANDING, PT
Title: PRESIDENT/PHYSICAL THERAPIST
Phone: (760) 246-8846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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