Bay Area Spine & Sport, Inc

NPI 1316930076 - Physical Therapist - 2251E1200X

NPI Details
NPI 1316930076
Enumeration Date 08/29/2005
Last Updated 11/15/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOE L. JOE
Position CHIEF OPERATING OFFICER
Phone (707) 526-4180
Fax (707) 526-4152
Practice Location
1801 CLEVELAND AVE
SUITE B
SANTA ROSA CA, 95401-4297, US
Phone (707) 526-4180
Fax (707) 526-4152
Business Location
3444 KEARNY VILLA RD
SUITE 200
SAN DIEGO CA, 92123-1959, US
Phone (888) 208-8526
Fax (858) 751-0901
Toxanomy
Taxonomy Code 2251E1200X
License State
License Number
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According to our database, Bay Area Spine & Sport, Inc NPI is 1316930076, taxonomy code is 2251E1200X Bay Area Spine & Sport, Inc physically located at 1801 Cleveland Ave, Santa Rosa CA, 95401-4297. NPI Number 1033115704 has the healthcare provider type.

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1316930076 NPI number is provided on an as is basis without warranty of any kind. 1316930076 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Area Spine & Sport, Inc are for informational purposes only.