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NPI Code Detail

MEDICARE: MRS. KAY F SLUTZKY OTR L

MEDICARE: MRS. KAY F SLUTZKY OTR L
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 TherapistOT1029CA

General Provider Information

NPI Number : 1720189707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAY F SLUTZKY OTR L
Provider Business Mailing Address
First Line : 3205 HURLEY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3853
Country : US
Telephone Number : 916-485-6711
Fax Number :
Provider Business Practice Location Address
First Line : 3205 HURLEY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3853
Country : US
Telephone Number : 916-485-6711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/24/2016

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