Organization
MAMMOTH PHYSICAL THERAPY, INC.
Active
Organization
MAMMOTH PHYSICAL THERAPY, INC.
Active
Other names
Mammoth Physio
Organization subpart
No
Provider details
NPI number
Authorized official
ALONZO LYNN MELISSA PT, DPT (PRESIDENT)
(760) 965-9465
Entity
Organization
Contact information
Practice address
645 OLD MAMMOTH RD STE 9, MAMMOTH LAKES, CA 93546-2048
(760) 965-9465
(760) 867-2021
Mailing address
PO BOX 8963, MAMMOTH LAKES, CA 93546-8963
(760) 965-9465
(760) 867-2021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
03/20/2025
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