Organization
AGEWELL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANU DURGA ANNPOORNA PIDIKITI (CEO)
(916) 906-4103
Entity
Organization
Contact information
Practice address
4818 GOLDEN FOOTHILL PKWY UNIT 1, EL DORADO HILLS, CA 95762-9825
(916) 906-4103
Mailing address
4818 GOLDEN FOOTHILL PKWY UNIT 1, EL DORADO HILLS, CA 95762-9825
(916) 906-4103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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