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Organization
PASO ROBLES PHYSICAL THERAPY INC
Active
Organization
PASO ROBLES PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY WALLACE PT (PRESIDENT)
(805) 237-0272
Entity
Organization
Contact information
Practice address
5255 EL CAMINO REAL STE C, ATASCADERO, CA 93422-3351
(805) 237-0272
(805) 237-2416
Mailing address
5255 EL CAMINO REAL STE C, ATASCADERO, CA 93422-3351
(805) 237-0272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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