Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 18, 2006
License(s)
PT6759 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 104 MARGARET LN SUITE B | Grass Valley, CA 95945 | 530-273-7500 |
| MAILING | 104 MARGARET LN SUITE B | Grass Valley, CA 95945-5212 | 530-273-7500 |
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