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Individual
MR. GERALD SOLBERG
Active
Individual
MR. GERALD SOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5818
STATE PT LICENSE
CA
Enumeration date
12/10/2009
Last updated
12/10/2009
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