| NPI | 1376379248 |
|---|---|
| Former Legal Business Name | FOLSOM PHYSICAL THERAPY & TRAINING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOORE President 916-355-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-10 |