MEDICARE: THE NEXT STEP PHYSICAL REPAIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1063625663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEXT STEP PHYSICAL REPAIR

Provider Business Mailing Address
First Line	:	PO BOX 208
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95696-0208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3446 BROWNS VALLEY RD
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688-9339
Country	:	US
Telephone Number	:	707-447-8462
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KATHERINE KIMSEY
Credential	:
Telephone Number	:	707-447-8462

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	06/25/2008

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Directions to “THE NEXT STEP PHYSICAL REPAIR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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