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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