Provider Demographics
NPI:1144212200
Name:GLINN AND GIORDANO PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:GLINN AND GIORDANO PHYSICAL THERAPY INC.
Other - Org Name:GLINN & GIORDANO PHYSICAL THERAPY INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:ROUS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:661-633-3954
Mailing Address - Street 1:1201 23RD ST.
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2306
Mailing Address - Country:US
Mailing Address - Phone:661-327-4357
Mailing Address - Fax:661-327-2311
Practice Address - Street 1:1201 23RD ST.
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2306
Practice Address - Country:US
Practice Address - Phone:661-327-4357
Practice Address - Fax:661-327-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ21296ZMedicare ID - Type Unspecified