Organization
CAPUCHINO THERAPY GROUP
Active
Other names
Isis Healthcare Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LULA M CAPUCHINO OTR/L (PRESIDENT)
(916) 481-1300
Entity
Organization
Contact information
Practice address
3601 MARCONI AVE, SACRAMENTO, CA 95821-5309
(916) 481-1300
(916) 365-9870
Mailing address
1015 RILEY STREET, #6268, FOLSOM, CA 95630-6268
(916) 481-1300
(916) 365-9870
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
OT2084
CA
2251E1200X
Ergonomics Physical Therapist
PT23114
CA
2251X0800X
Orthopedic Physical Therapist
PT40045
CA
225X00000X
Occupational Therapist
2084
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT2084
CA
225XH1200X
Hand Occupational Therapist
OT2084
CA
225XP0200X
Pediatric Occupational Therapist
OT2084
CA
225XR0403X
Driving and Community Mobility Occupational Therapist
OT2084
CA
235Z00000X
Speech-Language Pathologist
Primary
SP6954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616046300
DEPT OF LABOR
CA
01
—
ZZZ53443Y
BLUE SHIELD - PT
CA
01
—
ZZZ67977Z
BLUE SHIELD - OT
CA
01
—
ZZZ72016Y
BLUE SHIELD - SP
CA
Enumeration date
11/27/2006
Last updated
01/04/2024
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