Organization
HOLLISTER PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIE LEWELLEN MPT (OWNER/PHYSICAL THERAPIST)
(831) 636-3392
Entity
Organization
Contact information
Practice address
321 SAN FELIPE RD STE 16, HOLLISTER, CA 95023-3035
(831) 636-3392
(831) 636-3393
Mailing address
6775 DUNNVILLE WAY, HOLLISTER, CA 95023-9241
(831) 636-3392
(831) 636-3393
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT213640
CA
Other
Enumeration date
03/04/2008
Last updated
02/23/2016
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