Healthcare Provider Details
I. General information
NPI: 1770895096
Provider Name (Legal Business Name): RESULTS REHABILITATION SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2010
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6929 N WILLOW AVE STE 105
FRESNO CA
93710-5956
US
IV. Provider business mailing address
6929 N WILLOW AVE STE 105
FRESNO CA
93710-5956
US
V. Phone/Fax
- Phone: 559-790-7542
- Fax: 559-323-7271
- Phone: 559-297-3435
- Fax: 559-297-3439
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT25912 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 23567 |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
JULIA
A
PIAZZA
Title or Position: PRESIDENT
Credential:
Phone: 559-790-7295