Individual
KYLER PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
115 W SIERRA AVE, CLOVIS, CA 93612-0283
(805) 459-5724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49664
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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