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Organization
PALM DESERT PHYSICAL THERAPY, INC.
Active
Organization
PALM DESERT PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ZUNIGA PT (PRESIDENT)
(760) 345-3087
Entity
Organization
Contact information
Practice address
77622 COUNTRY CLUB DR, STE G, PALM DESERT, CA 92211
(760) 345-3087
(760) 345-6852
Mailing address
77622 COUNTRY CLUB DR STE G, PALM DESERT, CA 92211-0447
(760) 345-3087
(760) 345-6852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65614Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
12/07/2006
Last updated
08/06/2018
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