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Individual

REBECCA L SUNDSTROM DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
20400 SARATOGA LOS GATOS RD, SARATOGA, CA 95070-5927
(408) 741-2983
Mailing address
4560 SE INTERNATIONAL WAY, CONSONUS HEALTHCARE SERVICES SUITE 100, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3277
CA

Other

Enumeration date
10/29/2007
Last updated
12/06/2012
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