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NPI Code Detail

MEDICARE: JOHN RENDIG PT

MEDICARE: JOHN RENDIG PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT32503CA

General Provider Information

NPI Number : 1417053083
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN RENDIG PT
Provider Business Mailing Address
First Line : 8525 N CEDAR AVE STE 109
Second Line :
City : FRESNO
State : CA
Zip : 93720-4833
Country : US
Telephone Number : 559-440-9200
Fax Number : 559-440-9222
Provider Business Practice Location Address
First Line : 8525 N CEDAR AVE STE 109
Second Line :
City : FRESNO
State : CA
Zip : 93720-4833
Country : US
Telephone Number : 559-440-9200
Fax Number : 599-440-9222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 11/14/2014

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Directions to “ JOHN RENDIG PT” Practice Location

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