Prunedale Physical Therapy in Prunedale - Specialist
Prunedale Physical Therapy - NPI 1053492207
Prunedale Physical Therapy is a Specialist in Prunedale, California. Prunedale Physical Therapy practices all healthcare services and medical treatments related to Specialist. The NPI Number for Prunedale Physical Therapy is 1053492207. The last update date is 2007-11-06.
Prunedale Physical Therapy's current location address is 17823 Countryside Ct, Prunedale, California. You can contact this provider via phone number 8316638819 and fax number 8316635376. The mailing address for Prunedale Physical Therapy is 17823 Countryside Ct, Prunedale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prunedale Physical Therapy |
|---|---|
| Address | 17823 Countryside Ct, Prunedale, California |
| Phone Number | 8316638819 |
| Fax Number | 8316635376 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Miramontes Yara |
| Telephone Number | 8316638819 |
NPI Number Detail
| NPI Number | 1053492207 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 17823 Countryside Ct |
|---|---|
| City | Prunedale |
| State | California (CA) |
| Post Code | 939078804 |
| Phone Number | 8316638819 |
| Fax Number | 8316635376 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Prunedale Physical Therapy by the Centers for Medicare & Medicaid Services?
The Prunedale Physical Therapy has been issued the NPI (National Provider Identifier) 1053492207 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Prunedale Physical Therapy is physically located?
The Prunedale Physical Therapy is situated at the following address: 17823 Countryside Ct, Prunedale, CA 939078804.
What is the area of specialization for Prunedale Physical Therapy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prunedale Physical Therapy is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053492207 to Prunedale Physical Therapy?
The Prunedale Physical Therapy received its 1053492207 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the Prunedale Physical Therapy's details last updated?
The information pertaining to the Prunedale Physical Therapy, including its address, specialty, and other details, was most recently updated on 2007-11-06.
NPI Number: 1376546309
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