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Organization
PROACTIVE PHYSICAL THERAPY AND FITNESS
Active
Organization
PROACTIVE PHYSICAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENARO JIMENEZ PT (OWNER)
(510) 358-2071
Entity
Organization
Contact information
Practice address
39420 LIBERTY ST, SUITE 173A, FREMONT, CA 94538-2200
(510) 358-2071
(510) 358-2248
Mailing address
39420 LIBERTY ST, SUITE 173A, FREMONT, CA 94538-2200
(510) 358-2071
(510) 358-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37257
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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