Organization
TIP TOP SHAPE WELLNESS FITNESS AND PHYSICAL THERAPY FOUNDATION INC
Active
Organization
TIP TOP SHAPE WELLNESS FITNESS AND PHYSICAL THERAPY FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNAVAL DACANAY VILLAFUERTE PT, GCS, CLT, WCC (CHIEF OPERATING OFFICER)
(888) 538-3828
Entity
Organization
Contact information
Practice address
50 PENNY LN, WATSONVILLE, CA 95076-3079
(888) 538-3828
Mailing address
50 PENNY LN, WATSONVILLE, CA 95076-3079
(888) 538-3828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
32295
CA
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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