Organization
FOOTHILL PHYSICAL THERAPY, INC.
Active
Organization
FOOTHILL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN JOY GLIDEWELL P.T. (OWNER/ADMINISTRATOR)
(916) 934-0914
Entity
Organization
Contact information
Practice address
1106 WINDFIELD WAY, SUITE 4, EL DORADO HILLS, CA 95762
(916) 934-0914
(916) 934-0960
Mailing address
1106 WINDFIELD WAY, SUITE 4, EL DORADO HILLS, CA 95762
(916) 934-0914
(916) 934-0960
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201042000
ACS-DEPT. OF LABOR ID #
CA
Enumeration date
11/11/2005
Last updated
01/22/2018
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