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General NPI Number Information
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NPI Number | 1700911054
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Entity Type | Organization
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Legal Business Name | RIVER CITY PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 1550 HARBOR BLVD STE 120
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City | W SACRAMENTO
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State | CA
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Zip | 95691-3830
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Country | US
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Telephone | 916-456-3735
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Fax | 916-374-9753
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Provider Business Mailing Address
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Address Line | PO BOX 980545
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City | WEST SACRAMENTO
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State | CA
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Zip | 95798-0545
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Country | US
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Telephone | 916-456-3735
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Fax | 916-374-9753
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHI MARGUERITE THWEATT
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Credential |
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Telephone | 916-456-3735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 11212
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License Number State | CA
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