Individual
AUDREY MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2035 LYNDELL TER STE 200, DAVIS, CA 95616-6222
(530) 758-2222
Mailing address
1301 E BIDWELL ST STE 201, FOLSOM, CA 95630-3565
(916) 983-5915
(916) 983-5906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
294018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294018
CA PHYSICAL THERAPY BOARD
CA
01
—
294018
CA PHYSICAL THERAPY BOARD
—
Enumeration date
12/15/2017
Last updated
12/15/2017
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