Capuchino Therapy Group in Sacramento - Orthotic Fitter

Capuchino Therapy Group - NPI 1568538064

Capuchino Therapy Group is a Orthotic Fitter in Sacramento, California. Capuchino Therapy Group practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Capuchino Therapy Group is 1568538064. The last update date is 2016-02-01.

Capuchino Therapy Group's current location address is 3601 Marconi Ave, Sacramento, California. You can contact this provider via phone number 9164811300 and fax number 9163659870. The mailing address for Capuchino Therapy Group is 3601 Marconi Ave, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Capuchino Therapy Group
Address 3601 Marconi Ave, Sacramento, California
Phone Number 9164811300
Fax Number 9163659870
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Capuchino M Lula
Credentials OTR/L
Telephone Number 9164811300

NPI Number Detail

NPI Number 1568538064
Provider Enumeration Date 2006-11-27
Last Updated Date 2016-02-01

Provider Mailing Address Detail

Address 3601 Marconi Ave
City Sacramento
State California (CA)
Post Code 958215309
Phone Number 9164811300
Fax Number 9163659870

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Licence No OT2084
Definition:
An individual trained in the management of fitting prefabricated orthoses.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ67977Z CA BLUE SHIELD - OT
616046300 CA DEPT OF LABOR
ZZZ72016Y CA BLUE SHIELD - SP
ZZZ53443Y CA BLUE SHIELD - PT

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FAQs about Capuchino Therapy Group

What is the unique provider identifier assigned to Capuchino Therapy Group?

The Capuchino Therapy Group has been issued the NPI (National Provider Identifier) 1568538064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Capuchino Therapy Group is physically located?

The Capuchino Therapy Group is physically situated at the following address: 3601 Marconi Ave, Sacramento, CA, 958215309.

What is Capuchino Therapy Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The Capuchino Therapy Group's area of specialization is Orthotic Fitter, and the corresponding taxonomy code that categorizes this field of practice is 225000000X.

When was the Capuchino Therapy Group's 1568538064 issued?

The Capuchino Therapy Group's 1568538064 was issued on 2006-11-27.

As of what date was the information regarding Capuchino Therapy Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Capuchino Therapy Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-01.

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