Golden State Therapy Center
Golden State Therapy Center is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Lodi, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
Practice location Address checks out
1235 W Vine St Ste 22Lodi, CA 95240-5109
Phone: (209) 369-6996
Fax: (209) 369-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X (CA) |
|---|
Record details
| NPI number | 1720085343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frank Russell — Administrator · (209) 369-6996 |
| NPI enumerated | June 29, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1235 W Vine St, Suite 22, Lodi, CA 95240-5109 |