Healthcare Provider Details

I. General information

NPI: 1497450522
Provider Name (Legal Business Name): IRON POINT PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRON POINT CIR STE 100
FOLSOM CA
95630-8594
US

IV. Provider business mailing address

50 IRON POINT CIR STE 100
FOLSOM CA
95630-8594
US

V. Phone/Fax

Practice location:
  • Phone: 916-836-1111
  • Fax: 916-836-2222
Mailing address:
  • Phone: 916-836-9623
  • Fax: 916-836-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ADRINE KHUDANYAN
Title or Position: CEO
Credential:
Phone: 916-836-9623