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NATHAN ANDREW LIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3001 DOVER AVE STE B, FAIRFIELD, CA 94533-8999
(707) 428-1311
Mailing address
4808 SEQUOIA ST, HUTCHINSON, KS 67502-4622
(620) 560-4589

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-05892
KS

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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