# USAF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750365003
- **Authorized official:** MARIA DE L LEBRON PHYSICAL THERAPIST (ELEMENT CHIEF)
- **Authorized official phone:** (707) 423-7977

## Contact information

- **Practice address:** 101 BODIN CIR, TRAVIS AFB, FAIRFIELD, CA 94535-1809
- **Practice address phone:** (707) 423-7899
- **Mailing address:** 1300 BURTON DR, APT 131, VACAVILLE, CA 95687-3526
- **Mailing address phone:** (707) 635-8801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 00726 | PR | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 11/12/2008
