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NPI Code Detail

MEDICARE: RICH E ADKINS P.T.

MEDICARE: RICH E ADKINS P.T.
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 TherapistPT22659CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235141268
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICH E ADKINS P.T.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 855-771-0335
Fax Number :
Provider Business Practice Location Address
First Line : 770 MASON ST
Second Line :
City : VACAVILLE
State : CA
Zip : 95688-4646
Country : US
Telephone Number : 707-454-5900
Fax Number : 707-454-5991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/09/2015

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