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Corlis Denise Myers, P.T.A

Physical Therapy Assistant in Sacramento, CA. Individual provider (NPI-1).

NPI number1285643551
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285643551
Entity type
Individual (NPI-1)
Name
Mrs. Corlis Denise Myers
Credential
P.T.A
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant4746CAYes

Practice location

4700 Northgate Blvd
Suite 100
Sacramento, CA 95834-1128

Phone 916-923-4442

Mailing address

4960 Francesca St
Elk Grove, CA 95758-6749

Phone 916-422-4862

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