Provider Demographics
NPI:1912043993
Name:LAGUNA PHYSICAL THERAPY & HAND REHABILITATION
Entity Type:Organization
Organization Name:LAGUNA PHYSICAL THERAPY & HAND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANESE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:916-747-3302
Mailing Address - Street 1:9281 OFFICE PARK CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-8069
Mailing Address - Country:US
Mailing Address - Phone:916-691-9822
Mailing Address - Fax:916-691-9448
Practice Address - Street 1:9281 OFFICE PARK CIR STE 110
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-8069
Practice Address - Country:US
Practice Address - Phone:916-691-9822
Practice Address - Fax:916-691-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty