BETTY FISKUM PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1033409339- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 2039 VIOLA ST, MODESTO, CA, 953541729
- Phone
- (209) 581-5974
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #AT6229
All Addresses
MAILING
2039 VIOLA ST
MODESTO, CA, 953541729