Organization
PROFESSIONAL MASSAGE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA SUE DELUCA C.M.T. (OWNER)
(560) 891-8233
Entity
Organization
Contact information
Practice address
2535 CEANOTHUS AVE, CHICO, CA 95973-7722
(530) 891-8233
(530) 891-1653
Mailing address
PO BOX 393, CHICO, CA 95927-0393
(530) 891-8233
(530) 891-1653
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
0400551
CA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
0400551
CA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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