Gary Deacon, P.T.
Physical Therapist in Sonora, CA. Individual provider (NPI-1).
NPI number1306929328
StatusActive
Last updated in NPPESMar 25, 2008
Details
- NPI
- 1306929328
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary Deacon
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- Mar 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 11939 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | CA |
Practice location
181 Fairview LnSonora, CA 95370-4809
Phone 209-532-6463 · Fax 209-532-3420
Mailing address
181 Fairview LnSonora, CA 95370-4809
Phone 209-532-6463 · Fax 209-532-3420
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All 22 Physical Therapist providers in Sonora · All 893 providers in Sonora
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