Individual
MR. RICARDO ULYSSES MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1640 REDSTONE CENTER DR STE 200, PARK CITY, UT 84098-7607
(435) 645-0788
Mailing address
2216 VALLEY OAK LN UNIT 2058, WEST SACRAMENTO, CA 95691
(213) 434-7015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9099
CA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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