Individual provider · Type 1 NPI

Glenn Miracle, P.T.

Orthopedic Physical Therapist · Fresno, CA

NPI number 1831430016 Active

Practice location

1903 E Fir Ave, Ste. 102
Fresno, CA 93720-3862

Call (559) 322-1703 Map

Fax (559) 322-1793

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X39881 (CA)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1831430016

Glenn Miracle, P.T.'s National Provider Identifier is 1831430016, issued on Mar 12, 2013. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Fresno, CA. The record was last updated on Mar 12, 2013.