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Organization
EDIZON PHYSICAL THERAPY INC.
Active
Organization
EDIZON PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENDRICK D GANDING PT (PRESIDENT/PHYSICAL THERAPIST)
(760) 246-8846
Entity
Organization
Contact information
Practice address
11336 BARTLETT AVE STE 11, ADELANTO, CA 92301-1950
(760) 246-8846
(760) 246-3118
Mailing address
11336 BARTLETT AVE STE 11, ADELANTO, CA 92301-1950
(760) 246-8846
(760) 246-3118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
10/25/2007
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