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Organization
PHYSICAL THERAPY DYNAMICS
Active
Organization
PHYSICAL THERAPY DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI DANETTE MARTINES (MANAGER)
(559) 674-5100
Entity
Organization
Contact information
Practice address
2413 W CLEVELAND AVE, SUITE 102, MADERA, CA 93637-4953
(559) 674-5100
(559) 674-5900
Mailing address
2413 W CLEVELAND AVE, SUITE 102, MADERA, CA 93637-4953
(559) 674-5100
(559) 674-5900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23974
CA
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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