Individual
GAKUL PANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9461 BATEY AVE, ELK GROVE, CA 95624-2005
(916) 685-9525
Mailing address
3418 TRUMPET VINE DR, FOLSOM, CA 95630-7287
(916) 743-1435
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53522
CA
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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