| Doctor Name: | MOLLIE TANJOCO |
| NPI Number: | 1093803819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 30218 |
| Business Practice Address: | 588 N Sunrise Ave 120 Roseville, CA - 956612842 |
| Business Phone Number: | 9162063612 |
| Business Fax Number: | 9167827855 |
| Mailing Address: | 2300 Greatfield Dr, ROSEVILLE |
| State: | CA |
| Postal Code: | 957478897 |
| Phone Number: | 9162063612 |
| Fax Number: | 9165964062 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 02/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 30218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |