# GOLDEN STATE PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanderson Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114909629
- **Authorized official:** ANNE LASSON (VICE PRESIDENT)
- **Authorized official phone:** (408) 570-0510

## Contact information

- **Practice address:** 565 BRUNSWICK RD, GRASS VALLEY, CA 95945-9392
- **Practice address phone:** (530) 273-4152
- **Practice address fax:** (530) 273-4153
- **Mailing address:** PO BOX 612260, SAN JOSE, CA 95161-2260
- **Mailing address phone:** (877) 325-2776
- **Mailing address fax:** (408) 945-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | Yes |
| 225XH1200X | Hand Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 09/11/2025