Individual
CHRISTAL POTTERTOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E BIDWELL ST, SUITE 201, FOLSOM, CA 95630-3565
(916) 983-5906
(916) 983-5906
Mailing address
1301 E BIDWELL ST, SUITE 201, FOLSOM, CA 95630-3565
(916) 983-5906
(916) 983-5906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT43350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT43350
PHYSCIAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
12/02/2015
Last updated
12/02/2015
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