Provider Demographics
NPI:1104835370
Name:NATOMAS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:NATOMAS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BESSAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:916-419-5202
Mailing Address - Street 1:1948 DEL PASO RD STE 135
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7721
Mailing Address - Country:US
Mailing Address - Phone:916-419-5202
Mailing Address - Fax:916-419-5502
Practice Address - Street 1:1948 DEL PASO RD STE 135
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7721
Practice Address - Country:US
Practice Address - Phone:916-915-7125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty