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Organization
PHYSIOMOTION PHYSICAL THERAPY, INC.
Active
Organization
PHYSIOMOTION PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A GRAY PT, DPT, OCS (DIRECTOR)
(559) 222-7497
Entity
Organization
Contact information
Practice address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
(559) 224-9310
Mailing address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
(559) 224-9310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22900
CA
225100000X
Physical Therapist
Primary
24892
CA
225100000X
Physical Therapist
25847
CA
225100000X
Physical Therapist
34452
CA
Other
Enumeration date
12/12/2006
Last updated
10/22/2010
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