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NPI Code Detail

MEDICARE: ROLANDO MORIN

MEDICARE: ROLANDO MORIN
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
1225200000XPhysical Therapy AssistantAT 2963CA

General Provider Information

NPI Number : 1649431347
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROLANDO MORIN
Provider Business Mailing Address
First Line : 7801 RUSH RIVER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-4602
Country : US
Telephone Number : 916-428-2113
Fax Number :
Provider Business Practice Location Address
First Line : 7801 RUSH RIVER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-4602
Country : US
Telephone Number : 916-428-2113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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Directions to “ ROLANDO MORIN ” Practice Location

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