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Organization
GRANITE BAY PHYSICAL THERAPY
Active
Organization
GRANITE BAY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HEADRICK DPT (OWNER)
(916) 791-5011
Entity
Organization
Contact information
Practice address
6910 DOUGLAS BLVD, SUITE D, GRANITE BAY, CA 95746-6276
(916) 791-5011
(916) 791-3211
Mailing address
6910 DOUGLAS BLVD, SUITE D, GRANITE BAY, CA 95746-6276
(916) 791-5011
(916) 791-3211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27707
CA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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