Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 14, 2022
License(s)
303044 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1200 GOUGH ST | San Francisco, CA 94109-6655 | 415-921-1211 |
| MAILING | 4434 FULTON ST APT 4 | San Francisco, CA 94121-3864 | 530-524-2845 |
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