Provider First Line Business Practice Location Address:
4001 CA-104
Provider Second Line Business Practice Location Address:
SPECIALTY CLINIC - PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-274-4911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2018