Healthcare Provider Details

I. General information

NPI: 1982627949
Provider Name (Legal Business Name): REHABILITATION AND OCCUPATIONAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 02/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 CREEKSIDE DR SUITE 101
FOLSOM CA
95630-3830
US

IV. Provider business mailing address

1635 CREEKSIDE DR SUITE 101
FOLSOM CA
95630-3830
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-5611
  • Fax: 916-983-5615
Mailing address:
  • Phone: 916-983-5611
  • Fax: 916-983-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16050
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number12318
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number26357
License Number StateCA

VIII. Authorized Official

Name: MR. MATTHEW ALAN SMITH
Title or Position: OWNER
Credential: PT
Phone: 916-983-5611