Organization
DRIVEN GOLF PERFORMANCE AND SPORTS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SAMUEL TERRILL PT, DPT (OWNER, PHYSICAL THERAPIST)
(559) 920-5306
Entity
Organization
Contact information
Practice address
1470 MARY CT, EXETER, CA 93221-2373
(559) 920-5306
(559) 471-3727
Mailing address
1470 MARY CT, EXETER, CA 93221-2373
(559) 920-5306
(559) 471-3727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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