MR. THEDDY TRECE GRUMO, PTA

Physical Therapy Assistant

Active Individual
NPI: 1104452267

Practice Address

5555 N FRESNO ST
Fresno, CA 93710

Phone: (559) 430-8211

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 50168 (CA)

Frequently Asked Questions

NPI 1104452267 is the National Provider Identifier for MR. THEDDY TRECE GRUMO, PTA, a Physical Therapy Assistant provider located in Fresno, CA. This NPI was enumerated on March 19, 2020.
MR. THEDDY TRECE GRUMO, PTA practices at 5555 N FRESNO ST, Fresno, CA 93710.

Quick Facts

NPI
1104452267
Type
Individual
Enumerated
Mar 19, 2020
Last Updated
Mar 19, 2020

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