RIA ANNE SUGIJANTO ROOT

BRENTWOOD, CA
NPI1467916742
Former NameRIA ANNE SUGIJANTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT295813)
Enumeration Date2019-01-30
Last Update Date2025-08-25
Business Address
RIA ANNE SUGIJANTO ROOT DPT
350 JOHN MUIR PKWY STE 250
BRENTWOOD, CA 94513-5194
Phone number: 925-308-8160
Mailing Address
RIA ANNE SUGIJANTO ROOT DPT
6907 SHIRAZ WAY
CONVERSE, TX 78109-4465
Phone number: 925-360-8560
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