Organization Name: | PHYSICAL THERAPY UNLIMITED, INC. |
NPI Number: | 1073796462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLE MICHELLE CHENNAULT (OWNER/PRESIDENT) |
Mailing Address: | 1489 W Lacey Blvd Suite 105 Hanford |
State: | CA US |
Postal Code: | 932305957 |
Phone Number: | 5595858087 |
Fax Number: | 5595851933 |
NPI Enumeration Date: | 12/10/2007 |
NPI Last Update Date: | 12/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |