Individual
KIRSTEN TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
8181 CAPITOLA AVE, FAIR OAKS, CA 95628-7645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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