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Organization
FUQUA PHYSICAL THERAPY, INC
Active
Organization
FUQUA PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SCOTT FUQUA RPT (REGISTERED PHYSICAL THERAPIST OWNER)
(916) 723-3372
Entity
Organization
Contact information
Practice address
6560 GREENBACK LANE #100, CITRUS HEIGHTS, CA 95621
(916) 723-3372
(916) 722-5098
Mailing address
6560 GREENBACK LANE #100, CITRUS HEIGHTS, CA 95621
(916) 723-3372
(916) 722-5098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9856
CA
Other
Enumeration date
09/27/2006
Last updated
08/01/2018
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