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Organization
GOLDEN STATE PHYSICAL THERAPY INC
Active
Organization
GOLDEN STATE PHYSICAL THERAPY INC
Active
Other names
Sanderson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
565 BRUNSWICK RD, GRASS VALLEY, CA 95945-9392
(530) 273-4152
(530) 273-4153
Mailing address
PO BOX 612260, SAN JOSE, CA 95161-2260
(877) 325-2776
(408) 945-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
NULL
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
09/11/2025
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