| NPI | 1699728188 |
|---|---|
| Former Legal Business Name | PHYS MED |
| Entity Type | Organization |
| Authorized Contact | BLASENKO HUGO SIMUNOVIC Owner 559-438-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-06-18 |