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Organization
PRO DYNAMIC PHYSICAL THERAPY INC.
Active
Organization
PRO DYNAMIC PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS TANASSE (OWNER, PHYSICAL THERAPIST)
(916) 318-6964
Entity
Organization
Contact information
Practice address
6910 DOUGLAS BLVD STE D, GRANITE BAY, CA 95746-6276
(916) 318-6964
(916) 318-6965
Mailing address
6910 DOUGLAS BLVD STE D, GRANITE BAY, CA 95746-6276
(916) 318-6964
(916) 318-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Enumeration date
11/13/2015
Last updated
09/30/2025
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