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THAD SUMMARY
Physical Therapist
NPI: 1285105106Individual
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT22854(CA)
Contact & Hours
- Address
- 2054 MARBLE ST
SANTA ROSA, CA 95407 - Phone
- (415) 847-7734
Quick Facts
- NPI
- 1285105106
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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