Organization
BEYOND FITNESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZEPHIA FAY BOCK PT (PRESIDENT)
(760) 773-1144
Entity
Organization
Contact information
Practice address
71847 HIGHWAY 111, RANCHO MIRAGE, CA 92270-6406
(760) 773-1144
(760) 773-2124
Mailing address
PO BOX 1256, RANCHO MIRAGE, CA 92270
(760) 773-1144
(760) 773-2124
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT26856
KEVIN J. BUCKLEY
CA
01
—
PT268560
CHRISTIAN E. SLOTTER, MPT
CA
Enumeration date
06/15/2006
Last updated
08/22/2020
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