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Organization
NEW BEGINNING PHYSICAL THERAPY
Active
Organization
NEW BEGINNING PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY W. HENNIS PT (PRESIDENT)
(760) 835-6175
Entity
Organization
Contact information
Practice address
42335 WISCONSIN AVE, PALM DESERT, CA 92211-7839
(760) 835-6175
Mailing address
PO BOX 13722, PALM DESERT, CA 92255-3722
(760) 218-9961
(760) 610-6991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33999
CA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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