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Organization
THER-A-CON PHYSICAL THERAPY INC
Active
Organization
THER-A-CON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTIE JOHANNA VAN WERKUM-GLIDDEN PT (PHYSICAL THERAPIST)
(707) 445-9150
Entity
Organization
Contact information
Practice address
2103 MYRTLE AVE, EUREKA, CA 95501-3323
(707) 445-9150
(707) 444-1372
Mailing address
2103 MYRTLE AVE, EUREKA, CA 95501-3323
(707) 445-9150
(707) 444-1372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/13/2005
Last updated
08/22/2020
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