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Contact Information

CAMPUS COMMONS PHYSICAL THERAPY
1411 SECRET RAVINE
STE 100
ROSEVILLE, CA95661
 Phone: 916-789-0262
 Fax: 916-789-0282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAMPUS COMMONS PHYSICAL THERAPY · (Female)

NPI # 1992788053
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • Other ZZZ06750Z BLUE SHIELD
  • Other 2211662 FIRST HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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