Roseville Orthopedic Physical Therapy Professional Corporation

NPI #1487946273 in Roseville, California

Provider Information

NPI Number: 1487946273
Entity Type: Organization
Organization Name: Roseville Orthopedic Physical Therapy Professional Corporation
Primary Specialty: Physical Therapist
Enumeration Date: May 11, 2011
Last Updated: May 12, 2011

Practice Location

Address: 151 N SUNRISE AVE
Address 2: #1005
City: Roseville
State: California
ZIP Code: 95661-2924
Phone: (916) 782-1217

Authorized Official

Name: ANN BULLIS
Title: ADMINISTRATOR
Phone: (916) 782-1217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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