Individual
MRS. CORLIS DENISE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
4700 NORTHGATE BLVD, SUITE 100, SACRAMENTO, CA 95834-1128
(916) 923-4442
Mailing address
4960 FRANCESCA ST, ELK GROVE, CA 95758-6749
(916) 422-4862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4746
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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