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1801614128
SOAR PEDIATRIC PHYSICAL THERAPY
SAN RAFAEL, CA
NPI
1801614128
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Entity Type
Organization
Authorized Contact
CARRIE E PURVIS
Owner
415-624-9314
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
SOAR PEDIATRIC PHYSICAL THERAPY
30 MITCHELL BLVD
SAN RAFAEL, CA 94903-2034
Phone number: 415-624-9314
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Mailing Address
SOAR PEDIATRIC PHYSICAL THERAPY
65 TRELLIS DR
SAN RAFAEL, CA 94903-3326
Phone number: 415-624-9314
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