Individual
KEVIN E BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
568 N SUNRISE AVE, SUITE 100, ROSEVILLE, CA 95661-3097
(916) 865-1100
(916) 865-1105
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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