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1740894005
PHYSICAL EDGE SPECIALTY SERVICES
DAVIS, CA
NPI
1740894005
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Entity Type
Organization
Authorized Contact
MARIANNE MOORE
Administrator
530-753-9011
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
PHYSICAL EDGE SPECIALTY SERVICES
1460 DREW AVE STE 200
DAVIS, CA 95618-4856
Phone number: 530-753-9011
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Mailing Address
PHYSICAL EDGE SPECIALTY SERVICES
1460 DREW AVE STE 200
DAVIS, CA 95618-4856
Phone number: 530-753-9011
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