GARY M. DEACON

SONORA, CA
NPI1871711770
Doing Business AsSONORA PHYSICAL THERAPY CENTER
Entity TypeOrganization
Authorized ContactGARY DEACON
Owner
209-532-6463
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: CA  PT11939)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA  PT 11939)
Enumeration Date2007-04-23
Last Update Date2011-11-02
Business Address
GARY M. DEACON
181 FAIRVIEW LN
SONORA, CA 95370-4809
Phone number: 209-532-6463
Mailing Address
GARY M. DEACON
181 FAIRVIEW LN
SONORA, CA 95370-4809
Phone number: 209-532-6463