THAD SUMMARY

SANTA ROSA, CA
NPI1285105106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT22854)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
THAD SUMMARY
2054 MARBLE ST
SANTA ROSA, CA 95407-5446
Phone number: 415-847-7734
Mailing Address
THAD SUMMARY
2054 MARBLE ST
SANTA ROSA, CA 95407-5446
Phone number:
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