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Individual

BRETT THOMAS RIESCHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3550 ROUND BARN BLVD STE 112, SANTA ROSA, CA 95403-1796
(707) 566-5269
Mailing address
706 CORLANO AVE, SANTA ROSA, CA 95404-5231
(707) 322-2573

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21870
CA

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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