Individual
PANUMAS SOUKAROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
GLENWOOD SPRINGS WAY, ROSEVILLE, CA 95747
(916) 752-0033
Mailing address
5080 GLENWOOD SPRINGS WAY, ROSEVILLE, CA 95747-9291
(916) 752-0033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT12643
CA
Other
Enumeration date
06/12/2012
Last updated
03/11/2020
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