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Organization
MARIN PHYSICAL THERAPY, INC.
Active
Organization
MARIN PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW EDWARD KELLY P.T. (OWNER)
(415) 499-0278
Entity
Organization
Contact information
Practice address
165 N REDWOOD DR, SUITE #120, SAN RAFAEL, CA 94903-1969
(415) 499-0278
Mailing address
165 NORTH REDWOOD DRIVE, SUITE #120, SAN RAFAEL, CA 94903
(415) 499-0278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT15707
CA
Other
Enumeration date
03/20/2007
Last updated
04/01/2008
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