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Organization
FUNCTION&ACTION PHYSICAL THERAPY, INC.
Active
Organization
FUNCTION&ACTION PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC S. HOSHIKO (PRESIDENT)
(559) 299-0344
Entity
Organization
Contact information
Practice address
255 W BULLARD AVE, SUITE 114, CLOVIS, CA 93612-0861
(559) 299-0344
(559) 299-0391
Mailing address
255 W BULLARD AVE, SUITE 114, CLOVIS, CA 93612-0861
(559) 299-0344
(559) 299-0391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610748800
OWCP GROUP ID NUMBER
CA
01
—
ZZZ64289Z
BLUE SHIELD GROUP ID #
CA
Enumeration date
01/24/2006
Last updated
02/06/2025
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