Healthcare Provider Details
I. General information
NPI: 1497747562
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: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9501 FLUSHING QUAIL RD SUITES 8, 9 & 10
BAKERSFIELD CA
93312-2660
US
IV. Provider business mailing address
1201 23RD STREET
BAKERSFIELD CA
93301
US
V. Phone/Fax
- Phone: 661-589-9066
- Fax: 661-589-4209
- Phone: 661-327-4357
- Fax: 661-327-2311
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
ROUS
Title or Position: PRESIDENT
Credential:
Phone: 661-327-4357