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Organization
SPORTS MEDICINE AND REHAB THERAPY, INC.
Active
Organization
SPORTS MEDICINE AND REHAB THERAPY, INC.
Active
Other names
SMART,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA L. GARDNER P.T. (PRESIDENT)
(760) 873-8220
Entity
Organization
Contact information
Practice address
152 PIONEER LN, SUITE D, BISHOP, CA 93514-2563
(760) 873-8220
(760) 873-4443
Mailing address
152 PIONEER LN, SUITE D, BISHOP, CA 93514-2563
(760) 873-8220
(760) 873-4443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00PT78460
CA
2251X0800X
Orthopedic Physical Therapist
0PT253460
CA
Other
Enumeration date
11/04/2006
Last updated
02/09/2009
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