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NPI Code Detail

MEDICARE: TOTAL CARE PHYSICAL THERAPY

MEDICARE: TOTAL CARE PHYSICAL THERAPY
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 TherapistPT19373CA

General Provider Information

NPI Number : 1437311149
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL CARE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 69844 HIGHWAY 111
Second Line : STE# D
City : RANCHO MIRAGE
State : CA
Zip : 92270-2849
Country : US
Telephone Number : 760-321-1613
Fax Number : 760-321-2863
Provider Business Practice Location Address
First Line : 69844 HIGHWAY 111
Second Line : STE# D
City : RANCHO MIRAGE
State : CA
Zip : 92270-2849
Country : US
Telephone Number : 760-321-1613
Fax Number : 760-321-2863
Authorized Official
Title or Position : OWNER
Name : MR. RADU GHEORGHIU
Credential : R.P.T
Telephone Number : 760-321-1613
Provider Enumeration Date : 06/25/2008
Last Update Date : 06/25/2008

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Directions to “TOTAL CARE PHYSICAL THERAPY ” Practice Location

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