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Organization
VISTA CHILD THERAPY LLC
Active
Organization
VISTA CHILD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY F. BRUCE OTR/L, CHT (OWNER)
(916) 726-0155
Entity
Organization
Contact information
Practice address
7579 OLD AUBURN ROAD, CITRUS HEIGHTS, CA 95610
(916) 726-0155
(916) 726-6724
Mailing address
7579 OLD AUBURN ROAD, CITRUS HEIGHTS, CA 95610
(916) 726-0155
(916) 726-6724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
NBCOT:AA225763
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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