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Organization
MGM THERAPY
Active
Organization
MGM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADIY YESHU OT (OT/ OWNER)
(818) 927-9254
Entity
Organization
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(818) 927-9254
Mailing address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(818) 927-9254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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