# VANCE DIAGNOSTICS & PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356196042
- **Authorized official:** JOSHUA L VANCE PT, MPT, D-EDX (CEO)
- **Authorized official phone:** (559) 592-7117

## Contact information

- **Practice address:** 511 W VISALIA RD, EXETER, CA 93221-1019
- **Practice address phone:** (559) 592-7117
- **Mailing address:** 511 W VISALIA RD, EXETER, CA 93221-1019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | NULL | Yes |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/17/2024