Individual
BOBBY ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4318 SPYRES WAY, MODESTO, CA 95356-9259
(209) 576-0710
(209) 576-7283
Mailing address
4318 SPYRES WAY, MODESTO, CA 95356-9259
(209) 576-0710
(209) 576-7283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20138
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2009
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