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Organization
SANDS TRAVELER PT, INC.
Active
Organization
SANDS TRAVELER PT, INC.
Active
Other names
DBA Sierra Valley Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO PESINA PT (CEO)
(530) 283-0313
Entity
Organization
Contact information
Practice address
76 CRESENT, QUINCY, CA 95971
(530) 283-0313
Mailing address
72795 S DELLEKER, PORTOLA, CA 96122
(530) 283-0313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT17342
CA
Other
Enumeration date
01/19/2007
Last updated
09/03/2009
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