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Individual

GINA SUSAN BUCHHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1004 FOWLER WAY STE 6, PLACERVILLE, CA 95667-5746
(530) 344-5430
(530) 344-5431
Mailing address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 344-5430
(530) 344-5431

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
09/12/2017
Last updated
09/12/2017
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