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Organization
PHYSIOCARE PHYSICAL THERAPY
Active
Organization
PHYSIOCARE PHYSICAL THERAPY
Active
Other names
Valley Care PT Service
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE R EVERETT PT (PHYSICAL THERAPIST)
(559) 225-1029
Entity
Organization
Contact information
Practice address
4545 STOCKDALE HWY, SUITE #, BAKERSFIELD, CA 93309
(661) 835-1088
(661) 835-1094
Mailing address
PO BOX 3124, VISALIA, CA 93278
(559) 225-1029
(559) 225-1043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT001630
—
CA
01
—
ZZZ08832Z
BLUE CROSS BLUE SHIELD
CA
Enumeration date
03/24/2006
Last updated
08/22/2020
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