Organization
AMUNDSON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE CRUME (PROVIDER RELATIONS)
(530) 224-3322
Entity
Organization
Contact information
Practice address
638 WASHINGTON ST, RED BLUFF, CA 96080-3321
(530) 528-9112
(530) 529-9398
Mailing address
2520 GOODWATER AVE, SUITE A, REDDING, CA 96002-1514
(530) 224-3322
(530) 224-3325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ32373Z
MEDICARE GROUP
—
01
—
ZZZ66069Z
BLUE SHIELD GROUP
—
Enumeration date
04/18/2006
Last updated
09/20/2007
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