Provider Demographics
NPI:1295866200
Name:TROXELL AND MOHR PHYSICAL THERAPY AND WELLNESS CENTER INC.
Entity Type:Organization
Organization Name:TROXELL AND MOHR PHYSICAL THERAPY AND WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:559-299-9989
Mailing Address - Street 1:7065 N MAPLE AVE
Mailing Address - Street 2:STE. 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-8013
Mailing Address - Country:US
Mailing Address - Phone:559-299-9989
Mailing Address - Fax:559-299-9989
Practice Address - Street 1:2351 W CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-8767
Practice Address - Country:US
Practice Address - Phone:559-661-1611
Practice Address - Fax:559-661-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225200000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ27587ZMedicare ID - Type Unspecified