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Organization
WEST COAST PHYSICAL THERAPY LAB, INC.
Active
Organization
WEST COAST PHYSICAL THERAPY LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DOUGLAS HARRELL DPT (PHYSICAL THERAPIST)
(661) 378-3206
Entity
Organization
Contact information
Practice address
5630 DISTRICT BLVD STE 105, BAKERSFIELD, CA 93313-2181
(661) 378-3206
Mailing address
5630 DISTRICT BLVD STE 105, BAKERSFIELD, CA 93313-2181
(661) 378-3206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/23/2024
Last updated
04/29/2025
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