Organization
LINCOLN PHYSICAL AND OCCUPATIONAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEWITT OT (CEO)
(916) 434-9572
Entity
Organization
Contact information
Practice address
150 GATEWAY DR STE A, LINCOLN, CA 95648-3316
(916) 434-9572
(916) 434-9063
Mailing address
150 GATEWAY DR STE A, LINCOLN, CA 95648-3316
(916) 434-9572
(916) 434-9063
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 14005
CA
Other
Enumeration date
12/07/2006
Last updated
09/10/2024
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