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MR. WILLIAM WHITMAN P. T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1356429989

Individual Registrant:
MR. WILLIAM  WHITMAN P. T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
55500 SOUTH CIRCLE DR  IDYLLWILD, CA 92549 US
Tel: 951-659-5163  Fax: 951-659-5691

Contact information for business:
PO BOX 3125  IDYLLWILD, CA 92549-3125 US
Tel: 951-659-5163  Fax: 951-659-5691

Registration Information:
NPI: 1356429989
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT16129

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PTPN858CA01
BLUE SHIELD OF CALIFORNIA0PT161290CA01




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