Basic Information
| Provider Information | |||||||||
| NPI: | 1073638698 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TORREY-NICKERSON PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11251 COLOMA RD | ||||||||
| Address2: | STE J | ||||||||
| City: | GOLD RIVER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956704431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163532270 | ||||||||
| FaxNumber: | 9163532279 | ||||||||
| Practice Location | |||||||||
| Address1: | 2801 K ST | ||||||||
| Address2: | STE 310 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958165120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163532270 | ||||||||
| FaxNumber: | 9163532279 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | TORREY | ||||||||
| AuthorizedOfficialFirstName: | DONALD | ||||||||
| AuthorizedOfficialMiddleName: | V | ||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 9163532270 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | PT9048 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.