Organization
LOS FRESNOS PHYSICAL THERAPY AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS A WARNER (MANAGER)
(860) 912-6118
Entity
Organization
Contact information
Practice address
910 S ARROYO BLVD, LOS FRESNOS, TX 78566-3831
(860) 912-6118
Mailing address
910 S ARROYO BLVD STE A3, LOS FRESNOS, TX 78566-3832
(860) 912-6118
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730397928
—
MI
05
—
1942731625
—
TX
Enumeration date
02/28/2019
Last updated
02/28/2019
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