Individual
KURTIS HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 LEAD HILL BLVD, ROSEVILLE, CA 95661-2853
(916) 789-1111
Mailing address
1620 LEAD HILL BLVD, ROSEVILLE, CA 95661-2853
(916) 789-1111
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT42126
CA
Other
Enumeration date
01/13/2015
Last updated
04/13/2017
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