Organization
BAKERSFIELD COMMUNITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DERMENJIAN (CEO)
(818) 400-2300
Entity
Organization
Contact information
Practice address
1811 OAK ST STE 150, BAKERSFIELD, CA 93301-3064
(661) 348-4005
Mailing address
1811 OAK ST STE 155, BAKERSFIELD, CA 93301-3064
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823204717
—
CA
Enumeration date
05/07/2020
Last updated
05/07/2020
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