Individual
STEVE DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
625 ARTHUR ST, NOVATO, CA 94947-4499
(415) 328-1778
Mailing address
100 ROWLAND WAY, SUITE 310, NOVATO, CA 94945-5011
(415) 328-1778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
02/08/2016
Last updated
02/08/2016
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