Organization
EXCEL REHAB PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ENESCU PT (CEO)
(916) 479-4948
Entity
Organization
Contact information
Practice address
2000 W KETTLEMAN LN, 106, LODI, CA 95242-4334
(209) 207-0849
Mailing address
PO BOX 417, LODI, CA 95241-0417
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
01/16/2015
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