Organization
REEDLEY PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KINNITH DALE WILKINSON JR. P.T. (OWNER)
(559) 638-1171
Entity
Organization
Contact information
Practice address
746 G ST, REEDLEY, CA 93654-2622
(559) 638-1171
(559) 638-1133
Mailing address
746 G ST, REEDLEY, CA 93654-2622
(559) 638-1171
(559) 638-1133
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT155250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ24469Z
MEDICARE PTAN
CA
Enumeration date
02/06/2007
Last updated
01/03/2014
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