Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 31, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1905 MANZANITA WAY | West Sacramento, CA 95691-2533 | 925-812-4648 |
| LOCATION | 1965 BIRKMONT DR | Rancho Cordova, CA 95742-6407 | 925-812-4648 |
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