Healthcare Provider Details

I. General information

NPI: 1902091358
Provider Name (Legal Business Name): FIRST CHOICE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 E FIR AVE SUITE 102
FRESNO CA
93720-3862
US

IV. Provider business mailing address

1903 E FIR AVE SUITE 102
FRESNO CA
93720-3862
US

V. Phone/Fax

Practice location:
  • Phone: 559-322-1703
  • Fax: 559-322-1793
Mailing address:
  • Phone:
  • Fax: 559-322-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSE ABRAHAM
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 559-322-1703