Individual
MS. PATRICIA ANN SHIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3601 MARCONI AVE, SACRAMENTO, CA 95821-5309
(916) 481-1300
(916) 979-1578
Mailing address
15 WESTLITE CT, SACRAMENTO, CA 95831-2605
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 110801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568538064
ISIS HEALTHCARE
CA
Enumeration date
12/20/2011
Last updated
12/20/2011
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