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Organization
TRUCKEE PHYSICAL THERAPY INC
Active
Organization
TRUCKEE PHYSICAL THERAPY INC
Active
Other names
Truckee Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MOHUN PT (PRESIDENT / OWNER)
(530) 587-4790
Entity
Organization
Contact information
Practice address
11053 DONNER PASS RD, TRUCKEE, CA 96161-4839
(530) 587-4790
(530) 587-4815
Mailing address
11053 DONNER PASS RD, TRUCKEE, CA 96161-4839
(530) 587-4790
(530) 587-4815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65171Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
10/12/2006
Last updated
11/06/2017
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