Individual
MR. MICHAEL JOHN JIMENEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6011 N FRESNO ST, FRESNO, CA 93710-5237
(559) 436-8155
(559) 436-8165
Mailing address
535 W DECATUR AVE, CLOVIS, CA 93611-6781
(559) 436-8155
(559) 436-8165
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT20417
CA
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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