Individual
CARLENE RIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Mailing address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42095
CA
2251P0200X
Pediatric Physical Therapist
Primary
42095
CA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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