# CELL STAFF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689030769
- **Authorized official:** MR. JASON TA (PHYSICAL THERAPY ASSISTANT)
- **Authorized official phone:** (408) 821-6101

## Contact information

- **Practice address:** 2811 W CALIFORNIA AVE, FRESNO, CA 93706-2306
- **Practice address phone:** (559) 493-4400
- **Mailing address:** 2447 CARSON AVE, CLOVIS, CA 93611-6548
- **Mailing address phone:** (408) 821-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | AT11188 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 01/05/2016