Organization
KCG PHYSICAL THERAPY AND WELLNESS SVCS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RIVERA-GAPUZ PT, DPT (PRESIDENT)
(812) 581-0011
Entity
Organization
Contact information
Practice address
610 WILLOW ST APT A, ALAMEDA, CA 94501-5714
(812) 581-0011
Mailing address
1267 WILLIS ST STE 200A, REDDING, CA 96001-0400
(530) 232-5985
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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