Organization
BRAWLEY PHYSICAL THERAPY
Active
Organization
BRAWLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS D WISDOM PT (OWNER)
(760) 344-9000
Entity
Organization
Contact information
Practice address
529 E STREET, BRAWLEY, CA 92227
(760) 344-9000
(760) 344-9191
Mailing address
1942 PAULA LANE, HOLTVILLE, CA 92250
(760) 344-9000
(760) 344-9191
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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