Organization
EL DORADO PHYSICAL THERAPY, INC
Active
Organization
EL DORADO PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL DPT (CEO)
(209) 353-1988
Entity
Organization
Contact information
Practice address
907 EMBARCADERO DR, EL DORADO HILLS, CA 95762-4087
(916) 933-1221
(916) 933-0871
Mailing address
907 EMBARCADERO DR, EL DORADO HILLS, CA 95762-4087
(916) 933-1221
(916) 933-0871
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
12/06/2023
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