Organization
ADVANCED PHYSICAL THERAPY
Active
Organization
ADVANCED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAACK PT (PHYSICAL THERAPIST, OWNER)
(530) 621-2773
Entity
Organization
Contact information
Practice address
3084 CEDAR RAVINE RD, PLACERVILLE, CA 95667-5617
(530) 621-2773
(530) 621-3202
Mailing address
3084 CEDAR RAVINE RD, PLACERVILLE, CA 95667-5617
(530) 621-2773
(530) 621-3202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT24113
CA
Other
Enumeration date
11/08/2006
Last updated
06/12/2008
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