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Organization
P.T. ON THE GO
Active
Organization
P.T. ON THE GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELWYN GEORGE SITANGGANG MPT (PRESIDENT)
(530) 515-6890
Entity
Organization
Contact information
Practice address
2700 MADISON RIVER DR, REDDING, CA 96002-5182
(530) 515-6890
(530) 222-2774
Mailing address
PO BOX 701, PALO CEDRO, CA 96073-0701
(530) 515-6890
(530) 222-2774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25880
CA
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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