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Organization
MOWBS PHYSIOTHERAPY
Active
Organization
MOWBS PHYSIOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MOWBRAY PT (OWNER/ PHYSICAL THERAPIST)
(831) 419-2572
Entity
Organization
Contact information
Practice address
125 TALBOT AVE, SANTA ROSA, CA 95404-4033
(831) 419-2572
Mailing address
125 TALBOT AVE, SANTA ROSA, CA 95404-4033
(831) 419-2572
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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