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Organization
PRIME HOME PHYSICAL THERAPY P.C.
Active
Organization
PRIME HOME PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PHILLIPS D.P.T. (OWNER)
(510) 410-7623
Entity
Organization
Contact information
Practice address
1762 SCHANTZ WAY, TRACY, CA 95376-6742
(510) 410-7623
Mailing address
1762 SCHANTZ WAY, TRACY, CA 95376-6742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/04/2017
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