Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 7, 2013
License(s)
39304 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 20996 REDWOOD RD | Castro Valley, CA 94546-5918 | |
| LOCATION | 20996 REDWOOD RD | Castro Valley, CA 94546-5918 | 510-537-0272 |
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