Provider Demographics
NPI:1699222968
Name:RESONANCE PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:RESONANCE PHYSICAL THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHARMADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-850-0034
Mailing Address - Street 1:1837 IRON POINT RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8779
Mailing Address - Country:US
Mailing Address - Phone:916-850-0034
Mailing Address - Fax:
Practice Address - Street 1:1837 IRON POINT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-8779
Practice Address - Country:US
Practice Address - Phone:916-850-0034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25688261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy