Organization
CAPITOL PHYSICAL THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSA KOREEN CAULFIELD PT DPT (OWNER PHYSICAL THERAPIST)
(916) 446-1497
Entity
Organization
Contact information
Practice address
2288 AUBURN BLVD STE 107, SACRAMENTO, CA 95821-1619
(916) 446-1497
(916) 446-5959
Mailing address
2288 AUBURN BLVD STE 107, SACRAMENTO, CA 95821-1619
(916) 446-1497
(916) 446-5959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ46010Z
BLUE SHIELD
CA
Enumeration date
08/04/2006
Last updated
10/22/2019
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