| Organization Name: | EL DORADO PHYSICAL THERAPY, INC |
| NPI Number: | 1033446448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE A ORNOSKI (OWNER) |
| Mailing Address: | 907 Embarcadero Dr El Dorado Hills |
| State: | CA US |
| Postal Code: | 957624087 |
| Phone Number: | 9169331221 |
| Fax Number: | 9169330871 |
| NPI Enumeration Date: | 11/05/2009 |
| NPI Last Update Date: | 04/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT2576 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |