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Organization
PHYSIOCARE PHYSICAL THERAPY
Active
Organization
PHYSIOCARE PHYSICAL THERAPY
Active
Other names
Vatley Care PT Services
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE R EVERETT PT (OWNER PHYSICAL THERAPIST)
(559) 225-1029
Entity
Organization
Contact information
Practice address
3223 E SHIELDS AVE, FRESNO, CA 93726
(559) 225-1029
(559) 225-1043
Mailing address
PO BOX 3124, VISALIA, CA 93278-3124
(559) 225-1029
(559) 225-1043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT10890
CA
225100000X
Physical Therapist
Primary
PT32627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT001631
—
CA
01
—
ZZZ09383Z
BLUE SHIELD
CA
Enumeration date
03/07/2006
Last updated
08/22/2020
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