Healthcare Provider Details

I. General information

NPI: 1760002265
Provider Name (Legal Business Name): PRECISION REHABILITATION & ORTHOPEDIC PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 N MAGNOLIA AVE
CLOVIS CA
93611-9206
US

IV. Provider business mailing address

701 W CENTER AVE # 701
VISALIA CA
93291-6015
US

V. Phone/Fax

Practice location:
  • Phone: 559-321-8162
  • Fax: 559-472-3559
Mailing address:
  • Phone: 559-713-6806
  • Fax: 559-713-6809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ESPY MAGANA
Title or Position: MANAGER
Credential:
Phone: 559-713-6806