Organization
ELITE PHYSICAL THERAPY
Active
Organization
ELITE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHA A POHWANI PT/MS (PHYSICAL THERAPIST)
(209) 985-3495
Entity
Organization
Contact information
Practice address
201 E ORANGEBURG AVE, STE E, MODESTO, CA 95350-5355
(209) 985-3495
Mailing address
201 E ORANGEBURG AVE, STE E, MODESTO, CA 95350-5355
(209) 985-3495
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
29454
CA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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