Organization
CG PHYSICAL THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SCHNEIDER P.T. (PRESIDENT)
(208) 772-8147
Entity
Organization
Contact information
Practice address
12139 MOUNT VERNON AVE STE 110, GRAND TERRACE, CA 92313-5500
(909) 370-3396
Mailing address
PO BOX 3115, HAYDEN, ID 83835-3115
(208) 772-8147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT12588
CA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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