Organization
WELLVOLUTION LLC
Active
Other names
Blend
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI C LIEN PT (PT/OWNER)
(530) 306-5511
Entity
Organization
Contact information
Practice address
1097 E MAIN ST STE B, GRASS VALLEY, CA 95945-5718
(530) 306-5511
Mailing address
1097 E MAIN ST STE B, GRASS VALLEY, CA 95945-5718
(530) 306-5511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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