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Organization
SANNA PHYSICAL THERAPY INC
Active
Organization
SANNA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY LEE SANNA PT (PHYSICAL THERAPIST OWNER)
(831) 688-1332
Entity
Organization
Contact information
Practice address
7539 SOQUEL DRIVE, APTOS, CA 95003-3815
(831) 688-1332
Mailing address
7539 SOQUEL DRIVE, APTOS, CA 95003-3815
(831) 688-1332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2233505
CORPORATE NUMBER
CA
Enumeration date
11/09/2006
Last updated
07/19/2007
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