Healthcare Provider Details

I. General information

NPI: 1083722086
Provider Name (Legal Business Name): BACCI AND GLINN PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 W HILLSDALE AVE SUITE 'A'
VISALIA CA
93291-5138
US

IV. Provider business mailing address

PO BOX 7779
VISALIA CA
93290-7779
US

V. Phone/Fax

Practice location:
  • Phone: 559-733-2478
  • Fax: 559-733-2470
Mailing address:
  • Phone: 559-733-2478
  • Fax: 559-733-2470

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: MR. ROBERT M BACCI SR.
Title or Position: PRESIDENT
Credential: PT
Phone: 559-733-2478