| NPI | 1316930076 |
|---|---|
| Doing Business As | SANTA ROSA SPINE & SPORT |
| Entity Type | Organization |
| Authorized Contact | JOE L. VERNA Chief Operating Officer 888-208-8526 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-11-15 |