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Organization
STAC PHYSICAL THERAPY SONOMA, INC.
Active
Organization
STAC PHYSICAL THERAPY SONOMA, INC.
Active
Other names
North Santa Rosa Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRA COLMAN PT (OWNER)
(714) 904-2703
Entity
Organization
Contact information
Practice address
1400 N DUTTON AVE STE 1, SANTA ROSA, CA 95401-7120
(707) 523-2848
(707) 523-2866
Mailing address
1400 N DUTTON AVE STE 1, SANTA ROSA, CA 95401-7120
(707) 523-2848
(707) 523-2866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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