Organization
ACORN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R. LEE (ADMINISTRATOR)
(209) 795-3588
Entity
Organization
Contact information
Practice address
2075 HIGHWAY 4, ARNOLD, CA 95223
(209) 795-3588
(209) 795-6785
Mailing address
PO BOX 2834, ARNOLD, CA 95223-2834
(209) 795-3588
(209) 795-6785
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT9740
CA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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