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Organization
PETALUMA PHYSICAL THERAPY ASSOCIATES INC
Active
Organization
PETALUMA PHYSICAL THERAPY ASSOCIATES INC
Active
Other names
PETALUMA VALLEY PHYSICAL THERAPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SUSICK MS PT ATC (PRESIDENT)
(707) 763-0115
Entity
Organization
Contact information
Practice address
169 LYNCH CREEK WAY, PETALUMA, CA 94954-2344
(707) 763-0115
(707) 763-2130
Mailing address
169 LYNCH CREEK WAY, PETALUMA, CA 94954-2344
(707) 763-0115
(707) 763-2130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 11310
CA
Other
Enumeration date
10/05/2006
Last updated
03/18/2014
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