CG Physical Therapy Services Inc
Organization Active NPI Specialist · Grand Terrace, CA
NPI 1477579977 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477579977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- PT12588 (CA)
- Legal business name
- CG PHYSICAL THERAPY SERVICES INC
- Practice address
- 12139 Mount Vernon Ave Ste 110
Grand Terrace, CA 92313-5500 - Phone
- (909) 370-3396
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Gary Schneider, P.T.
- Title
- President
- Phone
- (208) 772-8147
Practitioners 1
-
Gary Douglas Schneider, P.T.
National Provider Directory
Locations
12139 Mount Vernon Ave
Ste 110
Grand Terrace, CA 92313
Phone (909) 370-3396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | PT12588 | CA | Yes |
Addresses
Primary practice location
12139 Mount Vernon Ave Ste 110
Grand Terrace, CA 92313-5500
Mailing address
PO Box 3115
Hayden, ID 83835-3115
Phone (208) 772-8147
Other providers in Grand Terrace, CA
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- Deanna Joy Case
- Gabriel Castellanos
- Crystal Pauline Castillo
- Juan Manuel Castro
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- Grace Griselda Chavez
- Richard S. Cho
- Erica Choi
- Takenya Chimene Clark-Jefferies
All providers in Grand Terrace, CA · Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.