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Organization
ROSEVILLE ORTHOPEDIC PHYSICAL THERAPY PROFESSIONAL CORPORATION
Active
Organization
ROSEVILLE ORTHOPEDIC PHYSICAL THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BULLIS (ADMINISTRATOR)
(916) 782-1217
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE, #1005, ROSEVILLE, CA 95661-2924
(916) 782-1217
(916) 782-7630
Mailing address
151 N SUNRISE AVE, #1005, ROSEVILLE, CA 95661-2924
(916) 782-1217
(916) 782-7630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/12/2011
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