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Organization

HENRY PALLOTTA & CARAMIA PALLOTTA, PTRS

Active
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Organization

HENRY PALLOTTA & CARAMIA PALLOTTA, PTRS

Active
Other names
Manteca Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY ALAN PALLOTTA PT (PARTNERSHIP)
(209) 239-4325
Entity
Organization

Contact information

Practice address
1041 N MAIN ST STE A, MANTECA, CA 95336-3744
(209) 239-4325
(209) 239-2320
Mailing address
1041 N MAIN ST STE A, MANTECA, CA 95336-3744
(209) 239-4325
(209) 239-2320

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0700000325
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171414000
OWCP
CA
Enumeration date
03/26/2007
Last updated
10/18/2017
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