Organization
GOLDEN BEAR PHYSICAL THERAPY SPORTS INJURY CENTER, INC
Active
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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