| |
6907 El Camino Real Ste D, Atascadero, CA 93422-4386 | |
(805) 466-6719 | |
(805) 466-5286 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 6907 El Camino Real Ste D, Atascadero, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225046824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | 6907 El Camino Real Ste D, Atascadero, CA 93422-4386 Ph: (805) 466-6719 |