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Organization
WHITMAN PHYSICAL THERAPY, INC
Active
Organization
WHITMAN PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G WHITMAN PT, JD, OCS (OWNER, PROVIDER)
(951) 659-5163
Entity
Organization
Contact information
Practice address
55500 SOUTH CIRCLE DRIVE, IDYLLWILD, CA 92549
(951) 659-5163
(951) 659-5691
Mailing address
PO BOX 3125, IDYLLWILD, CA 92549-3125
(951) 659-5163
(951) 659-5691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT161290
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/27/2007
Last updated
04/10/2013
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