Organization
SW THERAPY & REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAR A RIDSDALE N.D. (OWNER)
(505) 239-9644
Entity
Organization
Contact information
Practice address
149 IRON POINT RD, FOLSOM, CA 95630-9000
(916) 353-2673
Mailing address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
(505) 239-9644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37527
CA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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