Organization
MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN LOVELACE DPT (PHYSICAL THERAPIST)
(360) 303-4679
Entity
Organization
Contact information
Practice address
122 CORALIE WAY, FOLSOM, CA 95630-3303
(360) 303-4679
Mailing address
122 CORALIE WAY, FOLSOM, CA 95630-3303
(360) 303-4679
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT42406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457744294
NPI ID
CA
Enumeration date
12/08/2017
Last updated
12/08/2017
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