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Organization

EL DORADO PHYSICAL THERAPY & ASSOCIATES

Active
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Organization

EL DORADO PHYSICAL THERAPY & ASSOCIATES

Active
Other names
El Dorado Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LIZ ALLARDYCE (BILLING MANAGER)
(916) 933-1221
Entity
Organization

Contact information

Practice address
907 EMBARCADERO DR, SUITE 1, EL DORADO HILLS, CA 95762-4087
(916) 933-1221
(916) 933-0871
Mailing address
907 EMBARCADERO DR, SUITE 1, EL DORADO HILLS, CA 95762-4087
(916) 933-1221
(916) 933-0871

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT12236
CA
225100000X
Physical Therapist
PT12308
CA
225100000X
Physical Therapist
PT13386
CA
225100000X
Physical Therapist
PT16222
CA
225100000X
Physical Therapist
PT19561
CA
225100000X
Physical Therapist
PT19842
CA
225100000X
Physical Therapist
PT21076
CA
225100000X
Physical Therapist
PT23471
CA
225100000X
Physical Therapist
PT23929
CA
225100000X
Physical Therapist
Primary
PT26040
CA
225100000X
Physical Therapist
PT27002
CA
225100000X
Physical Therapist
PT27859
CA
225100000X
Physical Therapist
PT28491
CA
225100000X
Physical Therapist
PT28688
CA
225XH1200X
Hand Occupational Therapist
OT2576
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ57192Z
BLUE SHIELD OF CA
CA
01
—
ZZZ61857Z
BLUE SHIELD OF CA
CA
01
—
ZZZ66063Z
BLUE SHIELD OF CA
CA
01
—
ZZZ66064Z
BLUE SHIELD OF CA
CA
Enumeration date
08/29/2005
Last updated
09/11/2025
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