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Organization
COUNTY OF TUOLUMNE
Active
Organization
COUNTY OF TUOLUMNE
Active
Parent organization
COUNTY OF TUOLUMNE
Other names
Groveland Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TUOLUMNE
Authorized official
MR. CRAIG L PEDRO (COUNTY ADMINISTRATOR)
(209) 533-5511
Entity
Organization
Contact information
Practice address
18687 MAIN STREET, GROVELAND, CA 95321
(209) 962-4035
(209) 962-5399
Mailing address
PO BOX 4805, SONORA, CA 95370
(209) 533-6874
(209) 532-6982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP3300X
Pain Clinic/Center
—
CA
Other
Enumeration date
06/18/2007
Last updated
01/15/2008
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