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NPI Code Detail

MEDICARE: REBECCA LAUREN PHILLIPS PT

MEDICARE: REBECCA LAUREN PHILLIPS PT
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
1225100000XPhysical Therapist4197IA
2225100000XPhysical TherapistPT33156CA

General Provider Information

NPI Number : 1144380726
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LAUREN PHILLIPS PT
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 ALHAMBRA BLVD STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5241
Country : US
Telephone Number : 916-731-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/23/2024

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Directions to “ REBECCA LAUREN PHILLIPS PT” Practice Location

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