| Organization Name: | GOLDEN BEAR PHYSICAL THERAPY AND SPORTS INJURY CENTER, INC |
| NPI Number: | 1811084676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA ANN SCHAAL (BILLING) |
| Mailing Address: | 4318 Spyres Way Modesto |
| State: | CA US |
| Postal Code: | 953569259 |
| Phone Number: | 2095760710 |
| Fax Number: | 2095767283 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT20138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |