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Organization
HURST PHYSICAL THERAPY, INC.
Active
Organization
HURST PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH T HURST PT (PRESIDENT)
(760) 922-8400
Entity
Organization
Contact information
Practice address
1111 W HOBSONWAY, BLYTHE, CA 92225-1421
(760) 922-8400
(760) 922-8401
Mailing address
1111 W HOBSONWAY, BLYTHE, CA 92225-1421
(760) 922-8400
(760) 922-8401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ069812
BLUE SHIELD PROVIDER #
CA
Enumeration date
06/01/2006
Last updated
08/22/2020
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