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Organization
VANCE PHYSICAL THERAPY
Active
Organization
VANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA LOGAN VANCE MPT (OWNER)
(559) 592-7117
Entity
Organization
Contact information
Practice address
511 W VISALIA RD, EXETER, CA 93221-1019
(559) 592-7117
(559) 592-7112
Mailing address
511 W VISALIA RD, EXETER, CA 93221-1019
(559) 592-7117
(559) 592-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25845
CA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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