Organization
CHAPARRAL PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY L MALAN PT (OWNER)
(760) 256-1888
Entity
Organization
Contact information
Practice address
15555 MAIN ST, STE 14A, HESPERIA, CA 92345-3466
(760) 244-4288
(760) 244-0300
Mailing address
15555 MAIN ST, STE 14A, HESPERIA, CA 92345-3466
(760) 244-4288
(760) 244-0300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12940
CA
Other
Enumeration date
06/24/2006
Last updated
08/13/2007
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