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Organization
LYMPHEDEMA TREATMENT CENTER INC
Active
Organization
LYMPHEDEMA TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HALLIE ALDRIDGE RN (CEO OWNER)
(916) 966-2213
Entity
Organization
Contact information
Practice address
7529 SUNSET AVE, STE C-3, FAIR OAKS, CA 95628-4722
(916) 966-2213
(916) 966-7060
Mailing address
7529 SUNSET AVE, STE C-3, FAIR OAKS, CA 95628-4722
(916) 966-2213
(916) 966-7060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN213941
CA
225100000X
Physical Therapist
Primary
PT15055
CA
225100000X
Physical Therapist
PT17656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43032
HOME MEDICAL DEVICE RETAI
CA
Enumeration date
05/18/2006
Last updated
09/11/2025
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