NICHOLAS THORNDIKE ROTH

SAN RAFAEL, CA
NPI1790843134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  9528)
Enumeration Date2006-12-05
Last Update Date2007-07-10
Business Address
-- NICHOLAS THORNDIKE ROTH
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4188
Mailing Address
-- NICHOLAS THORNDIKE ROTH
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: