Organization
MADISON AVENUE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RICHARD CROOKS PT (OWNER/THERAPIST)
(916) 332-6050
Entity
Organization
Contact information
Practice address
5411 MADISON AVE, SUITE 1, SACRAMENTO, CA 95841-3151
(916) 332-6050
(916) 332-6053
Mailing address
5411 MADISON AVE, SUITE 1, SACRAMENTO, CA 95841-3151
(916) 332-6050
(916) 332-6053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT112750
CA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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