Organization
A.O.S. PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NICHOLAS RANALLA P.T. (OWNER)
(530) 885-3940
Entity
Organization
Contact information
Practice address
729 SUNRISE AVE, SUITE 602, ROSEVILLE, CA 95661-4565
(530) 885-3940
Mailing address
11879 KEMPER RD STE 4, AUBURN, CA 95603-9021
(530) 885-3940
(530) 885-3984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05457Z
PHYSICAL THERAPY
CA
Enumeration date
07/11/2007
Last updated
07/31/2007
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