JEFFERSON DAVID

SANTA ROSA, CA
NPI1699346957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  295052)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2021-07-08
Last Update Date2021-07-09
Business Address
JEFFERSON DAVID
300 FOUNTAINGROVE PKWY
SANTA ROSA, CA 95403-5720
Phone number: 707-359-5005
Mailing Address
JEFFERSON DAVID
34 RANDALL LN UNIT B
SANTA ROSA, CA 95409-4117
Phone number:
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