Individual
JOHN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9261 FOLSOM BLVD, 200, SACRAMENTO, CA 95826-2561
(916) 364-1733
(916) 364-5255
Mailing address
9992 WINGED FOOT DR, SACRAMENTO, CA 95829-8000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 25905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25905
LICENSE #
CA
Enumeration date
08/03/2006
Last updated
07/08/2007
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