Individual
AUSTIN SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
Mailing address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308622
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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