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Organization
FORGERON PHYSICAL THERAPY
Active
Organization
FORGERON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY A FORGERON PT (OWNER)
(760) 778-7150
Entity
Organization
Contact information
Practice address
555 E TACHEVAH DR, 1 EAST #201, PALM SPRINGS, CA 92262-5750
(760) 778-7150
(760) 778-7180
Mailing address
555 E TACHEVAH DR, 1 EAST #201, PALM SPRINGS, CA 92262-5750
(760) 778-7150
(760) 778-7180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35396
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
01
—
AV430Y
PTAN
CA
01
—
BS296Z
PTAN
CA
01
—
DF558Z
PTAN
CA
01
—
PT26534
PHYSICAL THERAPY LICENSE
CA
01
—
PT35038
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
07/07/2005
Last updated
08/06/2010
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