Organization
GOLDEN BEAR PHYSICAL THERAPY SPORTS INJURY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL DPT (CEO)
(209) 353-1988
Entity
Organization
Contact information
Practice address
4318 SPYRES WAY, MODESTO, CA 95356-9259
(209) 576-0710
(209) 622-4159
Mailing address
PO BOX 52219, PHOENIX, AZ 85072-2219
(209) 576-0888
(209) 576-0913
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
12/06/2023
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