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Organization
PARK AVENUE PHYSICAL THERAPY, INC
Active
Organization
PARK AVENUE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NICHOLAS DI REDO M.P.T. (OWNER / PHYSICAL THERAPIST)
(209) 723-8144
Entity
Organization
Contact information
Practice address
2808 PARK AVE, SUITE B, MERCED, CA 95348-3392
(209) 723-8144
(209) 723-5605
Mailing address
2808 PARK AVE, SUITE B, MERCED, CA 95348-3392
(209) 723-8144
(209) 723-5605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29991
CA
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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