Organization
DON UTTENREITHER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER FANCHON QUIRAM (OFFICE MANAGER)
(559) 782-1501
Entity
Organization
Contact information
Practice address
368 W OLIVE AVE, PORTERVILLE, CA 93257-3318
(559) 782-1501
(559) 782-8528
Mailing address
368 W OLIVE AVE, PORTERVILLE, CA 93257-3318
(559) 782-1501
(559) 782-8528
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT91850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT9185
CALIFORNIA PT LICENSE
CA
Enumeration date
02/09/2009
Last updated
02/09/2009
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