Paula Tanksley PT

NPI 1093790529 - Physical Therapist - 225100000X

NPI Details
NPI 1093790529
Gender Female
Enumeration Date 12/07/2005
Last Updated 12/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
130 PETALUMA AVE
STE 2-G
SEBASTOPOL CA, 95472-4220, US
Phone (707) 888-5093
Fax (707) 222-6572
Business Location
130 PETALUMA AVE
STE 2G
SEBASTOPOL CA, 95472-4220, US
Phone (707) 888-5093
Fax (707) 222-6572
Toxanomy
Taxonomy Code 225100000X
License State
License Number PT21613
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According to our database, Paula Tanksley PT NPI is 1093790529, taxonomy code is 225100000X and license number is PT21613, license state is located at . Paula Tanksley PT physically located at 130 Petaluma Ave, Sebastopol CA, 95472-4220. NPI Number Paula Tanksley PT has the Individual type.

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1093790529 NPI number is provided on an as is basis without warranty of any kind. 1093790529 is maintained by the National Plan & Provider Enumeration System. The contents of Paula Tanksley PT are for informational purposes only.