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NPI Code Detail

MEDICARE: WILCOX PHYSICAL REHABILITATION CENTER

MEDICARE: WILCOX PHYSICAL REHABILITATION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1245251511
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILCOX PHYSICAL REHABILITATION CENTER
Provider Business Mailing Address
First Line : 760 N EUCLID ST
Second Line : SUITE 105
City : ANAHEIM
State : CA
Zip : 92801-4133
Country : US
Telephone Number : 714-535-7700
Fax Number : 714-535-5445
Provider Business Practice Location Address
First Line : 760 N EUCLID ST
Second Line : SUITE 105
City : ANAHEIM
State : CA
Zip : 92801-4133
Country : US
Telephone Number : 714-535-7700
Fax Number : 714-535-5445
Authorized Official
Title or Position : OWNER
Name : BERNARDINA GERTRUDA WILCOX
Credential : P.T.
Telephone Number : 714-535-7700
Provider Enumeration Date : 07/22/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Directions to “WILCOX PHYSICAL REHABILITATION CENTER ” Practice Location

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