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Organization
FULL SPECTURM THERAPY INC
Active
Organization
FULL SPECTURM THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LACALLE (MANAGING PARTNER)
(530) 409-4941
Entity
Organization
Contact information
Practice address
5605 MILTON RANCH ROAD, SHINGLE SPRINGS, CA 95682-5124
(530) 409-4941
(916) 200-0430
Mailing address
5605 MILTON RANCH ROAD, SHINGLE SPRINGS, CA 95682-5124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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