Emerald Bay Physical Therapy PC
Emerald Bay Physical Therapy PC is a Physical Medicine & Rehabilitation Physician in South Lake Tahoe, California. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
812 Emerald Bay RdSouth Lake Tahoe, CA 96150-6413
Phone: (530) 542-2662
Fax: (530) 542-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|
Record details
| NPI number | 1275258485 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacey Mullins — Biller/Credentialing Specialist · (530) 314-3971 |
| NPI enumerated | October 10, 2022 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
| Mailing address | 812 Emerald Bay Rd, South Lake Tahoe, CA 96150-6413 |
Other providers in South Lake Tahoe
-
Dr. Gregory Paul Burkard Jr., DO
2170 S Ave, South Lake Tahoe, CA 96150 · (530) 543-5554