Organization
MILESTONE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLIE ELIZABETH TANJOCO M.P.T. (PHYSICAL THERAPIST/ OWNER)
(916) 206-3612
Entity
Organization
Contact information
Practice address
5814 LONETREE BLVD, SUITE 100, ROCKLIN, CA 95765-3785
(916) 206-3612
(916) 596-4062
Mailing address
5814 LONETREE BLVD, SUITE 100, ROCKLIN, CA 95765-3785
(916) 206-3612
(916) 596-4062
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
30218
CA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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