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Organization
MURIETA PHYSICAL THERAPY
Active
Organization
MURIETA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE MINORU YAMASHIRO P.T. (OWNER)
(916) 354-0719
Entity
Organization
Contact information
Practice address
7281 LONE PINE DR, D104, RANCHO MURIETA, CA 95683-9715
(916) 354-0719
(916) 354-1187
Mailing address
7281 LONE PINE DR # 104, PO BOX 955, RANCHO MURIETA, CA 95683-9715
(916) 354-0719
(916) 354-1187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17746
CA
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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