Organization
ANBERRY PHYSICAL REHABILITATION CENTER, INC.
Active
Organization
ANBERRY PHYSICAL REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W. GORMLY JR. (PRESIDENT)
(714) 841-3700
Entity
Organization
Contact information
Practice address
1675 SHAFFER ROSD, ATWATER, CA 95301-4456
(209) 841-2083
(209) 357-0904
Mailing address
17011 BEACH BLVD., SUITE 1130, HUNTINGTON BEACH, CA 92647-7402
(714) 841-2083
(866) 837-4458
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ZZZ32050Z
CA
261QP2000X
Physical Therapy Clinic/Center
ZZZ32050Z
CA
261QX0200X
Oncology Clinic/Center
ZZZ32050Z
CA
Other
Enumeration date
06/08/2006
Last updated
02/25/2011
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