Organization
OPTIMOTION PHYSICAL THERAPY SPORT AND SPINE, INC.
Active
Organization
OPTIMOTION PHYSICAL THERAPY SPORT AND SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LING FONG PT, DPT, OCS, SCS (PRESIDENT)
(530) 867-6679
Entity
Organization
Contact information
Practice address
1736 PICASSO AVE, SUITE A, DAVIS, CA 95618-0558
(530) 867-6679
Mailing address
1736 PICASSO AVE, SUITE A, DAVIS, CA 95618-0558
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
30188
CA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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