Healthcare Provider Details

I. General information

NPI: 1720165608
Provider Name (Legal Business Name): THERAPYCARE NETWORK CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 DOUGLAS BLVD SUITE 112
ROSEVILLE CA
95661-3869
US

IV. Provider business mailing address

2270 DOUGLAS BLVD SUITE 112
ROSEVILLE CA
95661-3869
US

V. Phone/Fax

Practice location:
  • Phone: 916-782-1212
  • Fax: 916-782-0695
Mailing address:
  • Phone: 916-782-1212
  • Fax: 916-782-0695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID SMITH
Title or Position: CEO
Credential:
Phone: 916-782-1212