Organization
EAST SACRAMENTO PHYSICAL THERAPY, INC
Active
Organization
EAST SACRAMENTO PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RISA MACDONALD PT, DPT (OWNER)
(916) 457-8802
Entity
Organization
Contact information
Practice address
5260 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 457-8802
Mailing address
5260 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 457-8802
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT92590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT9579
LICENSE
CA
Enumeration date
03/23/2007
Last updated
08/14/2007
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