Nancy Jeanne Avila, P.T.
Physical Therapist in Sonora, CA. Individual provider (NPI-1).
NPI number1992834071
StatusActive
Last updated in NPPESApr 14, 2015
Details
- NPI
- 1992834071
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nancy Jeanne Avila
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Apr 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT12510 | CA | Yes |
Practice location
181 Fairview LnSonora, CA 95370-4809
Phone 209-532-6463 · Fax 209-532-3420
Mailing address
Po Box 679Arnold, CA 95223-0679
Phone 209-795-2674
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