Organization
HACKLEY PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERI L WHITE-HACKLEY P.T. (CFO)
(707) 961-1606
Entity
Organization
Contact information
Practice address
501 CYPRESS ST, FORT BRAGG, CA 95437-5429
(707) 961-6191
(707) 964-6213
Mailing address
31740 CEDAR ST, FORT BRAGG, CA 95437-3922
(707) 961-6191
(707) 964-6213
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT14615
CA
Other
Enumeration date
01/24/2008
Last updated
12/07/2018
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