Organization
THERAPEUTIC PAIN MANAGEMENT
Active
Other names
The Rehab Superstore/Feel Like A Woman
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA ANNE PIAZZA (OWNER-PRESIDENT)
(559) 323-7246
Entity
Organization
Contact information
Practice address
6929 N WILLOW AVE, STE 103, FRESNO, CA 93710-5956
(559) 323-7246
(559) 323-7271
Mailing address
6929 N WILLOW AVE, STE #103, FRESNO, CA 93710-5956
(559) 323-7246
(559) 323-7271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
53036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538342357
—
CA
01
—
19253/19150
CA STATE EXEMPTEE LICENSE
CA
01
—
53036
DMEPOS RETAILER
CA
01
—
S11165
ACCREDIDATION-BOARD OF ORTHOTICS AND PROSTHETICS
CA
Enumeration date
12/14/2007
Last updated
01/24/2012
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