Organization
DYNAMIC THERAPY SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MIKEL FITZPATRICK MPT (PRESIDENT)
(916) 532-4899
Entity
Organization
Contact information
Practice address
135 WOODLAND AVE, WOODLAND, CA 95695-2701
(916) 532-4899
Mailing address
4605 W IMPERIAL VIEW CT, ROCKLIN, CA 95677-4492
(916) 532-4899
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
006778
CA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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