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Organization
FUNCTIONAL INDUSTRIAL REHABILITATION MEDICAL ASSOCIATES INC
Active
Organization
FUNCTIONAL INDUSTRIAL REHABILITATION MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIMISHA DENISE GREATHOUSE (OFFICE MANAGER)
(559) 224-6754
Entity
Organization
Contact information
Practice address
6042 N FRESNO ST, 101, FRESNO, CA 93710-5279
(559) 224-6754
(559) 490-0105
Mailing address
6042 N FRESNO ST, 101, FRESNO, CA 93710-5279
(559) 224-6754
(559) 490-0105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NX0100X
Occupational Health Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
11/14/2006
Last updated
07/22/2009
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