Organization
TICE VALLEY PHYSICAL THERAPY AND SPORTS MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON DENDINGER (OWNER)
(925) 935-0510
Entity
Organization
Contact information
Practice address
1874 TICE VALLEY BLVD, WALNUT CREEK, CA 94595
(925) 935-0510
(925) 935-0750
Mailing address
1874 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2224
(925) 935-0510
(925) 935-0750
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 19177
CA
261QP2000X
Physical Therapy Clinic/Center
PT 21277
CA
Other
Enumeration date
09/22/2006
Last updated
06/24/2015
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