Organization
COARSEGOLD PHYSICAL THERAPY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM THOMAS LAPHAM P.T. (PRESIDENT)
(559) 760-7012
Entity
Organization
Contact information
Practice address
35324 HIGHWAY 41, SUITE D, COARSEGOLD, CA 93614-9285
(559) 641-5445
(559) 641-5449
Mailing address
35324 HIGHWAY 41, SUITE D, COARSEGOLD, CA 93614-9285
(559) 641-5445
(559) 641-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18588
CA
Other
Enumeration date
08/16/2007
Last updated
06/10/2015
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