Organization
PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE R. SCOTT (BUSINESS MGR.)
(530) 529-3636
Entity
Organization
Contact information
Practice address
2490 S MAIN ST, RED BLUFF, CA 96080-4337
(530) 529-3636
(530) 529-3797
Mailing address
2490 S MAIN ST, RED BLUFF, CA 96080-4337
(530) 529-3636
(530) 529-3797
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
ZZZ05206Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28428985
STATE TAX ID
CA
Enumeration date
10/05/2006
Last updated
08/22/2020
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