Individual
LO SAECHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8556 NEW STAR CIR, SACRAMENTO, CA 95828-7525
(916) 833-5668
Mailing address
8556 NEW STAR CIR, SACRAMENTO, CA 95828-7525
(916) 833-5668
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
39083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39083
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
04/05/2013
Last updated
04/05/2013
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