RHALPH L REVESTIR

SACRAMENTO, CA
NPI1790305001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA49004)
Enumeration Date2020-04-16
Last Update Date2020-04-16
Business Address
RHALPH L REVESTIR PTA
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-7041
Mailing Address
RHALPH L REVESTIR PTA
10301 MARLAW WAY
ELK GROVE, CA 95757-1654
Phone number: 408-406-2853
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