TYLER DANIEL BREITIGAM

RIDGECREST, CA
NPI1689071326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  41951)
Enumeration Date2014-11-24
Last Update Date2014-11-24
Business Address
-- TYLER DANIEL BREITIGAM
540 PERDEW AVE STE C
RIDGECREST, CA 93555-2596
Phone number: 760-446-3611
Mailing Address
-- TYLER DANIEL BREITIGAM
540 PERDEW AVE STE C
RIDGECREST, CA 93555-2596
Phone number: 760-446-3611
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