Mardie Encenzo in Atwater - Physical Therapist
Mardie Encenzo - NPI 1245442953
Mardie Encenzo is a Physical Therapist in Atwater, California. Mardie Encenzo practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mardie Encenzo is 1245442953. The last update date is 2007-07-08.
Mardie Encenzo's current location address is 1685 Shaffer Rd, Atwater, California. You can contact this provider via phone number 2093573420. The mailing address for Mardie Encenzo is 1685 Shaffer Rd, Atwater, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mardie Encenzo |
|---|---|
| Address | 1685 Shaffer Rd, Atwater, California |
| Phone Number | 2093573420 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245442953 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1685 Shaffer Rd |
|---|---|
| City | Atwater |
| State | California (CA) |
| Post Code | 953014456 |
| Phone Number | 2093573420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT28051 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the Mardie Encenzo's 1245442953?
The Mardie Encenzo's NPI (National Provider Identifier) Number is 1245442953. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mardie Encenzo located?
The Mardie Encenzo is located at 1685 Shaffer Rd, Atwater, CA 953014456.
What is the Mardie Encenzo's specialty and taxonomy code?
The Mardie Encenzo's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Mardie Encenzo receive the assignment of its 1245442953 from the Centers for Medicare & Medicaid Services?
The Mardie Encenzo was issued its 1245442953 by the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the information pertaining to Mardie Encenzo most recently updated or revised?
The details related to Mardie Encenzo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.