Healthcare Provider Details

I. General information

NPI: 1982526711
Provider Name (Legal Business Name): DIZZY IN MOTION PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 SLATE AVE
HOLLISTER CA
95023-7637
US

IV. Provider business mailing address

274 SLATE AVE
HOLLISTER CA
95023-7637
US

V. Phone/Fax

Practice location:
  • Phone: 269-519-2879
  • Fax:
Mailing address:
  • Phone: 269-519-2879
  • Fax:

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: MA CZARINA DULAY CUNNINGHAM
Title or Position: PT-OWNER
Credential:
Phone: 269-519-2879