Individual
RHALPH L REVESTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7041
Mailing address
10301 MARLAW WAY, ELK GROVE, CA 95757-1654
(408) 406-2853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49004
CA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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