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NPI Code Detail

MEDICARE: CHUCK TOLAND MPT

MEDICARE: CHUCK TOLAND MPT
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
1225100000XPhysical Therapist32493CA

General Provider Information

NPI Number : 1811938053
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUCK TOLAND MPT
Provider Business Mailing Address
First Line : 23 E ROBINSON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-4522
Country : US
Telephone Number : 559-224-2796
Fax Number :
Provider Business Practice Location Address
First Line : 2615 E CLINTON AVE
Second Line : VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM
City : FRESNO
State : CA
Zip : 93703-2223
Country : US
Telephone Number : 559-225-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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Directions to “ CHUCK TOLAND MPT” Practice Location

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