MICHAEL DOUGLAS BANG

VALLEJO, CA
NPI1174681191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  14200)
Enumeration Date2006-12-04
Last Update Date2022-02-11
Business Address
MR. MICHAEL DOUGLAS BANG PT
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-2725
Mailing Address
MR. MICHAEL DOUGLAS BANG PT
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-2725