Healthcare Provider Details

I. General information

NPI: 1144212200
Provider Name (Legal Business Name): GLINN AND GIORDANO PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 23RD ST.
BAKERSFIELD CA
93301-2306
US

IV. Provider business mailing address

1201 23RD ST.
BAKERSFIELD CA
93301-2306
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-4357
  • Fax: 661-327-2311
Mailing address:
  • Phone: 661-327-4357
  • Fax: 661-327-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID LAWRENCE ROUS
Title or Position: PRESIDENT
Credential: PT
Phone: 661-633-3954