Organization
CAPITOL PHYSICAL THERAPY CENTER INC
Active
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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