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Organization
SOCO PHYSICAL THERAPY & PERFORMANCE, P.C.
Active
Organization
SOCO PHYSICAL THERAPY & PERFORMANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYNN ROSE PETERS (OWNER, PHYSICAL THERAPIST)
(707) 706-0853
Entity
Organization
Contact information
Practice address
222 CENTER ST, HEALDSBURG, CA 95448-4402
(707) 706-0853
Mailing address
1830 DRY CREEK RD, HEALDSBURG, CA 95448-9795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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