| |
3106 Ponte Morino Drive, Suite A, Cameron Park, CA 95682 | |
(530) 677-7565 | |
(530) 677-7683 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3106 Ponte Morino Drive, Cameron Park, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487613139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 27706 (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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3106 Ponte Morino Dr, Suite A, Cameron Park, CA 95682-8277 Ph: (530) 677-7565 | 3106 Ponte Morino Drive, Suite A, Cameron Park, CA 95682 Ph: (530) 677-7565 |