Organization
MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization
MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN LOVELACE DPT (PHYSICAL THERAPIST)
(360) 303-4679
Entity
Organization
Contact information
Practice address
6049 DOUGLAS BLVD STE 24, GRANITE BAY, CA 95746-6275
(360) 303-4679
Mailing address
122 CORALIE WAY, FOLSOM, CA 95630-3303
(360) 303-4679
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT42406
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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