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Organization
SONOMA HILLS PHYSICAL THERAPY, INC.
Active
Organization
SONOMA HILLS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALAKNANDA DEVASKAR PT (OWNER)
(707) 763-2340
Entity
Organization
Contact information
Practice address
151 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 763-2340
(707) 763-3629
Mailing address
151 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 763-2340
(707) 763-3629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT111530
MEDICARE PTAN
CA
Enumeration date
05/02/2014
Last updated
05/02/2014
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